Medical Billing & AR Specialist with 5+ years of U.S. healthcare experience in claims follow-up, denial resolution, payer communication, eligibility, appeals, and revenue cycle operations.
Experience includes pediatrics, ambulatory care, home health, infusion-related workflows, and specialty healthcare operations.
Experienced in researching aging, unpaid, denied, and underpaid claims by reviewing claim history, EOBs, payment details, payer requirements, and account documentation to identify reimbursement barriers and determine the appropriate next action.
Core RCM Skills
Medical Billing
Accounts Receivable
Aging Claims Resolution
Claims Follow-Up
Denial Management
Underpayment Research
Eligibility & Benefits Verification
EOB Review
Payer Communication
Appeals Support
Corrected Claims
Provider Billing Support
Quality Auditing
SOP & Workflow Documentation
Recent hands-on pediatric billing experience includes claim preparation, CMS-1500/837 workflows, billing-readiness review, Medicaid-related workflows, payer-specific requirements, and post-billing documentation.
Experience: 5 - 10 years
Experience: 5 - 10 years
Experience: 5 - 10 years
Experience: 1 - 2 years
Experience: 1 - 2 years
Experience: 5 - 10 years
Experience: Less than 6 months
Experience: 5 - 10 years
Experience: 5 - 10 years
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