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Senior Accounts Receivable Specialist
Access Healthcare · 2024 — Present
Oversee Revenue Cycle Management (RCM) for U.S. healthcare providers by ensuring accurate claim processing and timely reimbursements. Submit clean claims through CMS-1500 and UB-04, focusing on a high first-pass acceptance rate. Conduct CPT and ICD-10 coding, claim validation, and manage denials, appeals, and insurance follow-ups to optimize collections. Enhance AR aging by strategically prioritizing high-value claims and maintain compliance during payment posting and charge entry. Apply strong knowledge of Medicare policies while adhering to HIPAA regulations using Epic and Availity.
Accounts Receivable Executive
Cosentus · 2023 — 2024
Independently manage AR accounts, resolving claim issues for Medicare (Part A & B) claims, billing, and follow-ups. Address billing discrepancies and payment issues, while maintaining a high-volume workload with precision. Enhance billing processes to improve accuracy and efficiency. Demonstrate reliability with consistent performance and adherence to work schedules. Review claims meticulously to resolve discrepancies and utilize Excel for tracking receivables, including VLOOKUP and analytical formulas.