I am a Certified Medical Billing and Revenue Cycle Management Specialist with extensive experience supporting U.S.-based independent medical practices and third-party billing companies across multiple specialties.
My expertise covers the full claim lifecycle — including charge entry, insurance verification, claim submission, EOB/ERA reconciliation, denial management, and accounts receivable follow-up. I ensure accurate charge capture aligned with CPT and ICD-10 guidelines to maintain clean claim rates and minimize reimbursement delays.
With both provider-side and payer-side claims experience, I bring advanced knowledge of:
• Eligibility and prior authorization denials
• Coordination of Benefits (COB) discrepancies
• CPT/ICD-10 coding validation and compliance
• Aging report analysis and AR recovery strategies
• Denial trend analysis and root cause resolution
• Clean claim optimization and revenue performance improvement
Systems & Tools:
ATHENA | eClinicalWorks | SimplePractice | DrChrono | Office Ally | ClaimShuttle | PROMPT | Veradigm
Availity | Novitasphere | UHC Portal | Medicare portals
RingCentral | Zoom | Avaya | Google Workspace
I specialize in improving revenue cycle efficiency by:
? Reducing denial rates through proactive review
? Accelerating reimbursement turnaround
? Recovering aged receivables
? Strengthening billing workflows and compliance standards
I am seeking long-term partnerships with healthcare providers and billing organizations that value accountability, accuracy, compliance, and sustainable revenue growth.
Experience: 1 - 2 years
MR / Medical Software
Experience: 1 - 2 years
Experienced in full-cycle U.S. medical billing, including charge entry, payment posting, EOB/ERA reconciliation, denial management, AR follow-ups, and claims resubmission for multi-specialty providers.
Experience: Less than 6 months
Skilled in identifying root causes of denials (eligibility, authorization, coding, COB, and timely filing), preparing appeals, and executing systematic follow-up workflows to maximize reimbursement.
Experience: 1 - 2 years
Proficient in aging analysis, high-dollar claim prioritization, payer follow-ups via portal and phone, and reducing AR days through structured collection strategies.
Experience: Less than 6 months
Handled provider and insurance communications professionally via phone and email, resolving claim inquiries, billing disputes, and reimbursement concerns.
Experience: 1 - 2 years
Hands-on experience in reviewing and processing insurance claims, analyzing remittance advice, correcting claim errors, and resolving rejections and denials in accordance with payer guidelines.
Experience: 1 - 2 years
Experienced in navigating Availity, Novitasphere, UHC Portal, Medicare, and commercial payer systems for claim status checks, appeals submission, eligibility review, and payment reconciliation
Experience: 10+ years
Proficient in RingCentral, Zoom, Avaya, Google Workspace, and other remote communication platforms for team collaboration and payer follow-ups.
Experience: 10+ years
Accurate, high-volume charge entry, demographic updates, insurance input, and claim corrections, with strong attention to detail and compliance standards.
Experience: 1 - 2 years
Working knowledge of CPT, ICD-10-CM, and HCPCS codes, including modifier usage and documentation review to prevent claim rejections and underpayments.
“For years, I maxed out my hours, got burnt out, and the quality of my work would start to go down. I decided to take the leap, hire correctly, and now it frees up my time to focus on growing the business.”
Tyler Gies
SEE MORE REAL RESULTS“The more I stepped away from it, the more successful our Chanel became!”
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