As a Revenue Cycle Management (RCM) professional with over 6 years of experience in US healthcare billing, I specialize in Durable Medical Equipment (DME), Infusion, and Pharmacy billing. My services are built on precision, compliance, and process optimization — helping healthcare providers and billing companies improve process flow, reduce denials, and streamline operations.
🔹 What I Offer:
- End-to-End RCM Support: From patient intake to final reimbursement, I manage the full revenue cycle with accuracy and speed.
- AR Management & Audit: I lead Accounts Receivable audits for global teams, ensuring timely resolution of discrepancies and payer compliance.
- Denial Resolution: Skilled in analyzing and resolving all types of denials, including coding, authorization, and eligibility issues.
- Insurance Verification: I handle benefit verification and prior authorizations for high-value pharmacy claims, improving approval rates and reducing delays.
- Infusion & Pharmacy Billing: Experienced in complex therapies including chemotherapy, anti-infective, enteral, TPN, pain management, and ITMD therapies.
- NCPDP Workflow Expertise: I oversee pharmacy billing processes, card payments, and PBM coordination to ensure clean claims and faster reimbursements.
- 🔹 Process Improvement & Certifications:
- Certified Lean Six Sigma Black Belt & Green Belt (Henry Harvin)
- Proficient in DMAIC, PDCA, 5 Whys, and Root Cause Analysis
- Data-driven approach to reduce defects and improve billing efficiency
- Currently pursuing PMP Certification to enhance project management capabilities
- 🔹 Team Leadership & Collaboration:
- Experienced in team handling and cross-functional collaboration
- Strong organizational skills and attention to detail
- Committed to delivering quality work and enhancing profitability for clients
- Whether you're a healthcare provider, billing company, or pharmacy looking to optimize your revenue cycle, I bring the tools, experience, and mindset to deliver measurable results. Let’s work together to elevate your billing operations and financial performance.