"Unlocking Revenue Potential with Certified RCM Expertise – Your Path to Financial Excellence."

I am a HIPAA Certified Specialist in the US healthcare operations industry. For over seven years, I have worked in developing and implementing RCM solutions for healthcare practitioners. This includes extensive work in credentialing services healthcare practice reporting, medical billing, EDI and ERA setup, In-Network and out-of-network benefits, and other Insurance processing and denial management services. I am an Expert in working on specialties like Obstetrics and Gynecology, Gastroenterology, Internal Medicine, Pulmonary & Sleep Medicine, Cardiology, Psychiatry, Chiropractic, Physical Therapy, Occupational Therapy, Speech Therapy, Nephrology, Gastroenterology, Psychiatry, Rheumatology & Nutritionist Counseling.

I am adept at reviewing denial details provided by payers, identifying the reasons behind denials, and taking prompt corrective actions. I have a proven track record of resubmitting claims after addressing coding errors, updating missing information, and providing additional documentation where necessary. Additionally, I am well-versed in navigating payer appeal processes and have achieved positive outcomes in overturning unjustified denials. To support my expertise, I continuously stay updated on industry best practices, coding guidelines, and payer policies related to denials management.

I am highly skilled in navigating and utilizing the various features and functionalities of different billing software. I am adept at handling patient registration, insurance claims processing, billing inquiries, payment posting, and generating reports.

Work Terms

Working Hours: 8:00 AM to 5:00 PM CST