Detail-oriented, Technical Certified Medical Billing and Coding professional with over 6 years of experience in revenue cycle management (RCM) and accounts receivable (A/R). Expertise in Gastroenterology and Pain Management billing, along with proficiency in CPT/ICD-10 coding, insurance verification, and payment posting. Proven track record of optimizing processes, resolving billing discrepancies, and maximizing reimbursements while enhancing patient care and operational efficiency. Committed to delivering high-quality results that support organizational goals and improve financial performance.
Overview
6
6
years of professional experience
1
1
Certification
Work History
RCM Process Specialist
Modernizing Medicine, Inc
Remote
02.2025 - Current
Manage and optimize revenue cycle management processes to improve financial performance and operational efficiency.
Coordinated efforts with diverse teams to identify and implement process enhancements in revenue cycle management.
Analyzed and processed up to 30 operational Jira tickets daily, streamlining workflow and enhancing team productivity.
Analyze billing and coding data to ensure compliance with industry standards and regulations.
Created and sustained detailed records of revenue cycle management processes to enhance operational efficiency.
Monitored key performance indicators to evaluate revenue cycle strategies, ensuring alignment with organizational goals and recommending necessary modifications.
Facilitated communication between billing department and cross-functional teams to resolve discrepancies and enhance workflow efficiency.
Collaborated on strategic initiatives focused on increasing revenue and elevating customer satisfaction levels.
Implemented strategies to optimize revenue cycle efficiency and accuracy in Gastroenterology and Podiatry Verticals.
Developed and implemented training programs to enhance employee efficiency in task management.
Support Specialist 1
Modernizing Medicine, Inc
Remote
03.2023 - 02.2025
Diagnosed and resolved technical issues for end-users of healthcare software (gPM) for Gastroenterology specialty, contributing to improved user satisfaction and system performance.
Cultivated high customer satisfaction by implementing effective communication and problem-solving strategies.
Facilitated client support through email and phone communications, managing both inbound and outbound interactions.
Medical Billing Specialist
Center for Pain Management
Winter Park, FL
08.2021 - 03.2023
Managed patient payment processing and posting to uphold accuracy and maintain financial record integrity.
Administered insurance accounts receivable processes, engaging with patients to secure balance settlements and maintain payment plan commitments.
Managed claim submissions and charge postings within medical coding processes to support streamlined billing operations.
Medical Records Clerk
Ramirez & Poulos, MD PA
Orlando, FL
03.2021 - 08.2021
Digitized and accurately allocated medical records to corresponding patient charts, enhancing data retrieval efficiency.
Managed the release and request of medical records, facilitating seamless operational workflow.
Handled inbound and outbound communications related to medical records management.
Performed medical coding tasks, including submission of insurance claims and posting of charges.
Regularly updated patient information databases to maintain accurate and up-to-date records.
Receptionist/Office Assistant
Circuit Motorsports
Casselberry, FL
07.2020 - 03.2021
Managed front desk operations, scheduling appointments and processing check-ins and check-outs efficiently.
Maintained effective communication with customers through phone, Google Test, and email correspondence.
Handled financial transactions, including invoicing, collecting payments, and managing cash flow.
Receptionist
Amazing Lash Studio
Lake Mary, FL
11.2019 - 07.2020
Handled front desk operations, including managing incoming calls and scheduling appointments.
Maintained a clean and organized workspace to enhance customer experience.