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A management professional who has been eighteen years solid background on real estate, retails and business process outsourcing (BPO) , focusing on the Finance, Accounting, Data Analysis and Management Reporting as Senior Accountant and Senior Accounting Specialists. A professional that undergoes intensive cross training program that developed the ability to manage multi-disciplinary projects and navigate complex challenges. With proven organizational and communication skills, outstanding work ethic, and the ability to work well in both a team- oriented and self – directed environment. Specialized on Accounting and corporate systems such as, Sage Intacct, Microsoft Dynamic Great Plains, Quickbooks, Xero, Appfolio, Encompass, Brightree, FieldEdge ESC - Electronic Serviced Channel, Buildops Software, ADP - Payroll, Google workspace, Sharefile, Microsoft Office with advance excel skills.

Hello! I am a Medical Billing and Revenue Cycle Management (RCM) professional with 8+ years of experience supporting healthcare providers, clinics, and multi-specialty practices within the U.S. healthcare system. My work focuses on managing the entire billing cycle in a structured and accurate way — from patient eligibility and charge entry to claim submission, denial resolution, and payment follow-up. I aim to help healthcare practices maintain steady cash flow, minimize claim rejections, and ensure compliance with insurance and CMS billing standards, including proper ICD-10 and CPT usage. Throughout my career, I have handled both independent responsibilities and team-based operations, including workflow coordination, high-volume billing accounts, and communication with insurance payers across different specialties. 🚀 Areas of Expertise I provide full-cycle Revenue Cycle Management services, including: • Complete Medical Billing Operations • Insurance Eligibility & Benefits Verification • Clean Claim Submission (CMS-1500 / UB-04) • Denial Management, Appeals & Claim Corrections • Accounts Receivable (AR) Follow-up and Aging Management • Payment Posting and ERA/EOB Reconciliation • Prior Authorization Processing and Referral Handling • Provider Credentialing and Enrollment (CAQH, PECOS) • ICD-10, CPT, and HCPCS Coding Support • HIPAA-Compliant Data Handling and Documentation 🏥 Healthcare Experience I have worked with a wide range of specialties, including: Internal Medicine | Family Practice | Behavioral Health | Psychiatry | Psychology Dermatology | Cardiology | Orthopedics | Podiatry | Physical Therapy Urgent Care | Laboratory Services | DME | Pain Management | Telehealth Workers’ Compensation and No-Fault (PIP) Billing I am also comfortable adapting to new specialties and workflows quickly based on client needs. 💻 Systems & Software Experience eClinicalWorks | Kareo/Tebra | AdvancedMD | NextGen | Office Ally Athenahealth | ModMed | CollaborateMD | DrChrono | Medisoft TherapyNotes | Practice Fusion | SimplePractice 🌐 Insurance & Payer Knowledge Medicare | Medicaid | BCBS | Aetna | Cigna | UnitedHealthcare Humana | Tricare | Molina Healthcare | Commercial and State Insurance Plans 📊 What I Have Achieved In my professional experience, I have consistently contributed to: • Increasing clean claim rates through accurate billing review • Reducing outstanding AR by improving follow-up processes • Strengthening revenue cycle performance for healthcare practices • Supporting billing teams with training and workflow improvements • Assisting with successful credentialing and payer enrollment processes 💡 What You Can Expect ✔ Reliable and accurate billing support ✔ Strong understanding of U.S. insurance and CMS guidelines ✔ Focus on reducing denials and improving reimbursements ✔ Organized workflow and clear communication ✔ Commitment to improving overall revenue cycle performance.

Objective: A challenging position as a Medical Billing Specialist with a growing and well developed medical organization. Skills * Leadership * Insurance verification * Appeals * Customer service * Patient relations * Cash handling * Medicare Billing specialist * Business management * Brightree Trained * Pharmacy Technician Experience * Medical Billing * Medical Coding * Medical Terminology * ICD-10 * HIPAA * Accounts Receivable * Hospital Experience * Medical Scheduling * Medical Office Experience * CPT Coding * Typing * Data Entry * Epic * Office Management * Management * Order Entry

I help healthcare providers, clinics, group practices, mental health professionals, and medical organizations improve reimbursements, reduce denials, and stabilize revenue cycle operations. With 7+ years of experience in US healthcare administration, I specialize in Medical Billing, Revenue Cycle Management (RCM), Provider Credentialing, Accounts Receivable (AR) Recovery, Denial Management, Insurance Verification, and Payment Reconciliation. My focus is not just claim submission, it is building clean, financially efficient billing workflows that improve cash flow and reduce reimbursement delays. Core Services: ✔ Medical Billing & Coding ✔ Revenue Cycle Management (RCM) ✔ Accounts Receivable (AR) Follow-Up ✔ Denial Management & Appeals ✔ Provider Credentialing & Enrollment ✔ Medicare & Medicaid Enrollment ✔ Insurance Eligibility & Verification ✔ Claim Scrubbing & Submission ✔ ERA / EFT / ACH Setup ✔ Payment Posting & Reconciliation ✔ Clearinghouse Management ✔ Prior Authorization Support ✔ Fee Schedule Review ✔ Billing Workflow Optimization I have hands-on experience with multiple EHR/EMR and billing systems including: • AdvancedMD • Athenahealth • Office Ally • Tebra/Kareo • TherapyNotes • eClinicalWorks • SimplePractice • NextGen • Qualifacts • Insync I work with: → Mental Health Practices → Physical Therapy Clinics → Behavioral Health Providers → Primary Care Providers → Internal Medicine → Cardiology → Chiropractic Clinics → Urgent Care Centers → Multi-Specialty Practices My approach combines HIPAA-compliant operations, payer communication expertise, denial reduction strategies, and AR recovery systems designed to improve reimbursement performance. If your practice is experiencing: ► Increasing AR aging ► Delayed reimbursements ► Credentialing bottlenecks ► High denial rates ► payment inconsistencies I can help identify workflow gaps and implement practical billing solutions that improve operational efficiency and collections. Reliable communication, accuracy, and long-term support are central to how I work with clients.

Greeting, Certified HIPAA professional and Certified professional biller from AAPC and working in the medical billing Industry since 2014. I have 9 years of diversified experience dealing in multiple specialties/settings including but limited to Urgent Cares, Emergency Rooms (Freestanding), Ambulatory Surgical Centers, Hospitals (Profane - Micro to Tertiary care) Laboratories (General + Pathology + Genetic Testing), Diagnostic Radiology, Skilled Nursing Facilities, Wound Care Centers and other solo practices. CERTIFICATIONS: - 1. CPB (Certified Professional Biller)- AAPC 2. CPC (Certified professional coder)- AAPC 3. CCS- AIHMA 4. HIPAA Certification 5. Advance Excel and pivot Skill Set and core Expert Area:- -Account Receivable specialist -Medical research writer, QA, and Regulatory pharmacist, • Patient demographic entry • Charge Entry in billing software • Eligibility verification with payers • Medical claim scrubbing. • Claim submission to payers • Primary, Secondary and tertiary payers claim to process. • Denial Management, Emails, and calls handling * Insurance and eligibility verification • Account Receivable follow up • Payment posting and adjustment management • Patient billing for patient’s responsibility • Customized financial reports. • Scheduling calendar I have a working knowledge of compliance regulations HIPAA and PHI requirements, as well as have a complete understanding of Managed care contracts, MCO, Medicare, Medicaid, and other commercial insurances. Furthermore, I have complete knowledge and expertise in Electronic Medical Record (EMR) software, Optum 360 Encoder, Citrix & RDP’s, Next Gen, Cerner, Practice Fusion, Ms. Office, Ms. Excel, ECW, JANEAPP, ADVANCEMD, DENTRIX, OPENDENTAL, CRITERION, THERANEST, SIMPLE PRACTICE, OFFICEALLY, AVAILITY and many others Medical Billing : I have Medical Billing experience for almost eight years. During these 8 years, i have worked on many specialties. I do know the complete RCM flow, i have been doing charge entry, payments posting, and AR follow-up. Have worked as Team Leader in different organizations. I have a working knowledge of Charge entry, claims submission, working on rejections, Benefits verification, ERAs/EOBs posting, Insurance Call for doing a follow-up on unpaid claims/denial management, and getting referral information using different resources. In addition to these, i can also handle patient calls; by this provider, the office can focus more on their patients' care. Expertise: #Account receivables, #Collection management , #Outpatient and inpatient Billing, #ICD-10-PCS, #ICD-10-CM, #HCPCS, #CDT, #CPT, #ICD-10-AM a) Medical Billing Services includes the following:- - To check Eligibility and verification of patient’s health benefits from insurance carrier’s website and through Phone. - Create appointments on scheduler while receiving patient calls - Full patient demographics and charge entry - Insurance claims submission (primary, secondary or tertiary) - Accounts receivable analysis with corrective and preventive actions and decision making for Collections - Strong claims follow up on denials from insurances like Workers Comp, Medicare, Medicaid, BCBS Semi-Government, Managed care and Commercial Insurances (Aetna, BCBS, Cigna, UHC, Oxford etc...) - Patient billing inquiries as per received information from provider office - To check claim status from insurance, websites, auto-response unit, and via live calls. - To make on-call appeals for reprocessing of incorrectly processed claims based on billing knowledge - ICD9, CPT and HCPCS Coding and/or review, Encoder pro Expert licensed version guided for correct coding - Daily, Monthly, and annual AR Financial reports preparation - Custom reports where required - Patient billing as per instructions - Credentialing guidelines - Consulting/Training - Superbill review - Appeals (c). Specialties Anesthesiology Cardiology Chiropractic Dermatology Emergency Medicine Endocrinology Family Practice Gastroenterology General surgery Geriatrics Gynecology and obstetrics Internal Medicine Pneumology Orthopedic Otolaryngology Pathology Pediatrics Physical Medicine and Rehabilitation Physical Therapist Psychiatry Neurology Radiology Radiotherapy Rheumatology Urology

I am a certified Mindbody + Momence + Arketa + Bsport Specialist helping fitness and wellness businesses streamline operations, boost client engagement, and increase revenue through effective CRM implementation and optimization. I have over 8+ years of experience helping fitness and wellness businesses with studio management software like Bsport backoffice, Exercise, Momence, Glofox, Gymdesk, Mindbody, Booker by Mindbody, Arketa, Clinic Master, LEADAR, Aesthetic Record, Flodesk, and can help your Medspa, Gym/Fitness, Yoga Studio, Beauty/Massage Clinic with; ✅ CRM management (Set up and Ongoing Tech Support) ✅ Widget Codes (Wix, Squarespace, WordPress) ✅ DNS Records Verification ✅ Integrations ✅ Marketing and Campaigns ✅ Workflow Set Up ✅ Email Automation ✅ Appointment scheduling ✅ Data Migration ✅ Customer Service (Chat/Emails) ✅ Client support/ client account management ✅ General Admin tasks I am also a virtual assistant and can help with general admin and operations tasks, managing content on websites' backend (Wix, Squarespace, WordPress), and have expertise in various tools and CRM systems such as Jira, Mailchimp, Base 44, Zendesk, Brandbot, Notion, SignNow, Canva, Hubspot, Trello, Asana, ClickUp, Mindbody Online, Slack, Airtable, Todist, DocuSign, JotForms, Apollo, etc. I hope to join your team and bring with me insightful expertise that will translate into the success of your business.