Somia Zia

Medical Billing Specialist & RCM Expert

LinkedIn • Meio período

Apr 2024 - Jun 2026 • 2 yrs 2 mos

Specializing in end-to-end medical billing and revenue cycle management (RCM) for private practices, single providers, and medical clinics. Focused on reducing claim denials and maximizing provider reimbursement while maintaining strict HIPAA compliance. Key Responsibilities & Achievements: • Managed CMS-1500 claim creation, scrubbing, and clean submission across major insurance carriers (PPO, HMO, EPO, POS). • Performed comprehensive claim audits to identify denial root causes and successfully appealed rejected claims. • Verified patient eligibility, benefits, and prior authorizations prior to dates of service to prevent preventable rework. • Verified CPT, ICD-10-CM, and HCPCS coding for billing accuracy and accurate payment posting. • Utilized practice management software including MD Land Software