Dedicated and detail-oriented HIPAA-certified Medical Biller Specialist with 3 years of experience in medical billing and revenue cycle management, built on a strong clinical foundation from 3 years as an Emergency Room Nurse. Proven expertise in processing insurance claims, managing account receivables, and ensuring regulatory compliance across healthcare settings. Known for high performance in reducing claim denials, improving reimbursement rates, and safeguarding patient data privacy. Skilled in using electronic health records (EHR) and billing software, with a deep understanding of clinical documentation, medical terminology, and payer requirements. A reliable healthcare professional committed to precision, confidentiality, and operational efficiency.
• Submitted insurance claims through clearinghouses and payer portals, ensuring compliance with payer-specific guidelines and HIPAA regulations.
• Followed up on unpaid or denied claims, resolving discrepancies through appeals, resubmissions, and coordination with insurance representatives.
• Verified patient insurance eligibility, authorizations, and benefits to ensure timely and accurate billing.
• Maintained up-to-date knowledge of insurance guidelines, coding updates, and billing compliance requirements.
• Communicated with patients to explain billing statements, resolve account issues, and set up payment arrangements.
• Collaborated with providers and clinical teams to clarify documentation and support accurate charge capture.
Attention to Details
Analytical Thinking
Time Management
Confidentiality and Integrity
Effective Communication
Customer Service Orientation
Clinical judgment
Knowledgeable in EMRs: Tebra, DrChrono, Simple Practice