Fritz D.
Mid-Level Revenue Cycle Management Specialist
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Fritz Q., based in Quezon City, Metro Manila, Philippines, is a skilled Revenue Cycle Management (RCM) Specialist and Claims Auditor dedicated to the US healthcare market. With comprehensive expertise in handling full-cycle billing and conducting forensic claim audits for multi-specialty practices across Florida, California, Texas, and Missouri, Fritz navigates complex specialty billing rules in areas such as Behavioral Health and Pain Management. He focuses on maximizing revenue integrity through rigorous denial root-cause analysis and pre-submission compliance reviews. His proficiency in systems and software includes Tebra (Kareo), Simple Practice, Claims MD, and more. He demonstrates advanced capability in various payer portals such as Availity and UHC Provider Portal. His professional role at Premier Medical Billing Academy involved strategic A/R recovery and compliance oversight, adding significant value through the identification of underpayments and coding accuracy. Fritz is fully committed to US business hours, ensuring efficiency and effectiveness in remote medical billing operations.
Experience
Remote Medical Biller & Auditor
Premier Medical Billing Academy PMBA · 2023 — 2026Conducted thorough audits on Pain Management and Dermatology claims to ensure appropriate use of modifiers to avoid automated NCCI rejections. Served as a Claims Auditor to pinpoint underpayments by analyzing EOBs against payer fee schedules. Reviewed provider documentation for Behavioral Health and ABA therapy to verify that time-based coding aligned with medical records, thereby preventing potential clawbacks during payer audits.
Skills & Expertise
Education
- Bachelor of Arts in PhilosophySan Carlos Seminary College