
Healthcare billing and revenue cycle specialist with over 20 years of experience supporting hospital, physician, and behavioral/mental health billing operations. Expertise includes claims submission, payment posting, denial resolution, and Medicare/Medicaid processing. Experienced user of EMR and practice management systems, with a strong focus on reconciliation, workflow efficiency, and collaboration with finance and patient financial services teams.
Manage end-to-end medical billing processes including claim submission, payment posting, and denial resolution for physician and behavioral health services.
• Verify patient insurance eligibility, benefits, copays, and deductibles prior to claim submission to ensure accurate billing.
• Investigate and resolve rejected or denied claims by communicating with insurance providers and reviewing EOBs.
• Perform daily reconciliation of lockbox payments, credit card transactions, and system postings to maintain financial accuracy.
• Maintain billing data and account documentation within EMR and billing systems.
• Identify billing discrepancies and workflow issues and collaborate with finance teams to improve revenue cycle efficiency.