Medical Billing & AR Follow Up Specialist | Prior Authorization Specialist | RCM

​Delivered high-quality, empathetic support across phone, chat, and email channels in a fast-paced environment. Efficiently resolved complex inquiries regarding orders, refunds, and account issues while maintaining detailed documentation. Consistently exceeded performance metrics for response time and customer satisfaction by utilizing strong problem-solving skills and a customer-centered approach to conflict de-escalation.

Highly focused healthcare administrative professional with over a year of experience in U.S. revenue cycle management and medical document coordination at Knack RCM. Proven expertise in managing Held AR follow-up queues to resolve delayed claims, conducting prior authorization follow-up specifically for Continuous Glucose Monitors (CGM), and handling strict recertifications for wound care supplies. Possesses a strong background in reviewing clinical documentation—including clinical charts, progress notes, and laboratory results—and auditing Standard Written Orders (SWO) to ensure HCPCS code accuracy and compliance. Skilled in using UHC and CGS portals, maintaining strict HIPAA compliance, and executing regular outreach to providers, patients, and suppliers to secure missing medical records and signed orders.