Skills
Medical Biller
2-5 Years
Denial Management
2-5 Years
AR Follow UP, revenue cycle management, denial management
2-5 Years
Insurance Verification (Eligibility & Benefits)
2-5 Years
Experience highlights
A/R Claims specialist
Med-metrix
·
September/2024
–
Present
Managed medical claims and AR follow-up for U.S. healthcare accounts, including reviewing claim status, EOBs/ERAs, denials, payment discrepancies, and outstanding balances. Communicated with insurance payers to resolve claim issues while maintaining accurate documentation and HIPAA compliance.
Medical Claims Analyst
Trinity Health
·
August/2023
–
Present
Reviewed and analyzed U.S. healthcare claims involving Medicare, Medicaid, and commercial payers. Handled claim follow-up, eligibility issues, denials, payment discrepancies, adjustments, and account resolution while coordinating with payers and providers to support timely reimbursement.
Insurance Verification & Authorization Specialist
Omega Healthcare
·
January/2022
–
Present
Handled insurance eligibility and benefits verification, prior authorization requirements, and payer follow-ups for U.S. healthcare accounts. Verified coverage, deductibles, copays, coinsurance, and patient responsibility while maintaining accurate documentation and HIPAA compliance.
