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Medical Billing specialist AR Specialist Denial Analyst
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Medical Billing Specialist
CareCloud • Full time
May 2022 - Jan 2026 • 3 yrs 8 mos
I’m a Certified and experienced Medical Billing Specialist with over 5 years of hands-on experience in the medical billing industry. I have worked with reputable companies such as MTBC, BellMedex, and currently serve as a Senior Medical Billing Specialist at SwiftCare Billing. My expertise lies in helping healthcare providers streamline their revenue cycle management, reduce claim denials, and maximize reimbursements efficiently and accurately. I am passionate about improving billing processes and ensuring smooth financial operations for healthcare practices. What I Offer: Medical Billing & Coding I specialize in accurate ICD-10, CPT, and HCPCS coding to ensure compliance with payer guidelines and reduce claim rejections. I handle the complete billing cycle from coding to claim submission. Claim Submission & Processing I manage end-to-end claim submission with accuracy and timeliness to avoid delays and reduce the chances of denials or payment issues. Insurance Verification & Eligibility I perform detailed insurance verification and patient eligibility checks to ensure coverage before claim submission, reducing unnecessary rejections. Authorizations & Prior Approvals I handle all authorization requirements by obtaining approvals from payers and IPAs to ensure clean and approved claims. Payment Posting & Denial Management I manage payment posting and analyze denied claims, prepare appeals, and resubmit claims to maximize reimbursements. Accounts Receivable (AR) Follow-up I follow up on delayed payments with insurance companies, resolve discrepancies, and ensure timely collections to improve cash flow. Software Expertise: eClinicalWorks (ECW), AthenaHealth, Office Ally, MediFusion, Waystar, CloudCare Soft, Kinnser, Eclipse. Why Choose Me: • Strong expertise in ICD-10, CPT, HCPCS coding • Skilled in denial management and appeals • End-to-end revenue cycle management • HIPAA-compliant and detail-oriented approach • Fast, accurate, and reliable service