I am a results-driven medical billing, insurance coordination, and credentialing specialist with more than a decade of experience in revenue cycle management. I manage end-to-end billing workflows, including claims submission, payment posting, accounts receivable follow-up, denial management, and reimbursement resolution.
I have strong expertise in medical billing and coding practices, including ICD-10, CPT, and HCPCS. I work carefully to ensure accurate documentation, clean claim submission, payer compliance, and timely reimbursement across Medicare, Medicaid, and commercial insurance plans.
I am experienced in insurance verification, benefits review, prior authorization, referral coordination, and patient account support. I communicate effectively with patients, providers, payer representatives, and internal teams to resolve billing, coverage, and authorization issues.
My credentialing background includes provider enrollment, re-credentialing, CAQH profile management, Medicare and Medicaid applications, and provider data maintenance. I maintain compliance with HIPAA, CMS, NCQA, and payer-specific requirements.
I am proficient with a wide range of EMR, EHR, billing, clearinghouse, credentialing, and payer portal systems. I also use reporting and Excel skills to monitor A/R performance, identify operational improvements, and support efficient revenue cycle operations.
