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Experiência profissional
Team Lead RCM
HS Medical Billing
Feb 2026 - Present • 3 mos
Managing full-cycle US medical billing operations for healthcare providers. Handling claim submission, payment posting, denial management, and AR recovery. Supporting billing performance improvements through AR reporting and workflow optimization. Ensuring compliance with HIPAA, Medicare/Medicaid, and payer billing guidelines.
Senior RCM Specialist
VERTECHS Medical Billing • Período integral
Jan 2025 - Feb 2026 • 1 yr 1 mo
Managed full-cycle RCM processes including charge entry, claim submission, payment posting, and AR follow-up. Reviewed and validated ICD-10, CPT, and HCPCS codes to ensure compliant and clean claims. Analyzed denial trends and implemented corrective actions to minimize claim rejections. Prepared detailed financial and AR performance reports for management review. Communicated with payers, providers, and patients to resolve billing discrepancies efficiently.
RCM Specialist
Fellow Health Partner • Período integral
Aug 2022 - Jan 2025 • 2 yrs 5 mos
Monitored outstanding insurance claims and ensured timely reimbursement follow-up. Resubmitted corrected claims and managed appeals for denied payments. Conducted denial analysis and collaborated with insurance representatives for resolution. Posted payments accurately and reconciled EOBs and ERAs for correct account balances. Generated AR aging reports and recommended workflow improvements for faster collections.
3 Avaliações
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Classificação detalhada
- Nível de comunicação do freelancer
- Qualidade da entrega
- Valor da entrega
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medlaunch360

Estados Unidos
He is not versed in the areas i needed,, did not follow full directions and did not communicate not being able to fulfill requirements. Made ourselves available for questions, benefits were not done completely
Até US$ 50
$
7 dias
Tempo
stevie_callan

Estados Unidos
Highly detailed chiropractic insurance verification. Patient’s benefits were confirmed accurately and documented clearly. Fast communication and quick delivery. This has improved our scheduling and upfront collections significantly.

kathleen_eric

Estados Unidos
Delivered high-quality work on time and communicated clearly throughout the project.
Resposta do freelancer

