With an experience of 5+ years, I have developed a strong background in US healthcare revenue cycle management (RCM), specializing in Accounts Receivable (AR) follow-up, denial management, eligibility verification, and patient support. I have handled claims across both CMS-1500 and UB-04 formats, managing every stage from submission to resolution while ensuring accuracy, compliance with HIPAA regulations, and process optimization.
In customer and patient support, I address inquiries via phone, email, and chat, providing clear, accurate information and resolving issues proactively. I manage orders, returns, and refunds efficiently, maintaining up-to-date product and service knowledge.
Within A/R and denial management, I follow up with insurance companies, identify denial reasons, and take corrective actions, including appeals and claim corrections. I collaborate with billing and coding teams to resolve discrepancies and improve workflows, while also negotiating payments with patients and payers to secure timely collections.
In eligibility verification, I confirm coverage for primary and secondary payers, provide detailed benefit information, and update patient demographics to reduce write-offs and minimize denials.
As a team lead, I supervise and train analysts, optimize workflow, monitor performance, and foster a positive, collaborative work environment. Technically, I am proficient with Brightree, Epic, Meditech, Central Reach, Vericle, eClinicalWorks, Waystar, MS Office, Outlook, and Google Workspace.
I combine strong interpersonal skills—optimism, adaptability, accountability—with analytical expertise to maximize revenue recovery and ensure superior patient satisfaction.