Rheshan L.
Junior Medical Billing Specialist
Open to offersNew to PlatformAbout
Professional Summary
Medical Billing & Practice Operations Specialist combining deep expertise in Revenue Cycle Management (RCM)with robust Administrative & Operational Leadership. Highly analytical and detail-oriented, with a proven track record of optimizing outpatient clinic infrastructure, maximizing reimbursements, and maintaining rigorous system
Core Competencies
- Medical Billing & RCM: End-to-end claims management, ICD-10 & CPT coding compliance, insurance verification, AR/denial resolution, and outpatient reimbursement enhancement.
- Practice Operations: Patient intake optimization, scheduling coordination, workflow streamlining, and high-volume communications management.
- Leadership & Support: Daily operational supervision, cross-functional coordination, and comprehensive staff training.
- Industry Tools: Unified Practice, Office Ally, Availity, and advanced CRM platforms
Why hire me
As a Medical Billing & Practice Operations Specialist, I bring a unique dual-core expertise in revenue cycle optimization and seamless administrative leadership. Employers should hire me because I bridge the gap between clinical workflows and back-office accuracy, ensuring practices run profitably and efficiently. In my remote experience managing a private outpatient clinic, I optimized patient intake, eliminated scheduling bottlenecks, and audited insurance eligibility to mitigate code discrepancies. I excel in administrative support, high-volume communications, and CRM documentation. By supervising daily operations and training staff, I maintain high system integrity and support team success. I am ready to bring this same dedication, analytical mindset, and organizational drive to your team.
Experience
Medical Billing & Practice Operations Specialist
Private Outpatient Acupuncture & Massage Clinic (Remote) · 2025 — 2026Optimized parameters for patient intake and scheduling to eliminate bottlenecks, facilitating smooth provider workflows within clinic boundary guidelines. Conducted audits of insurance eligibility, benefits, and workers’ compensation coverage prior to patient visits to prevent discrepancies and streamline claims. Managed multi-channel inquiries through a structured communication system, enhancing administrative support and patient issue resolution. Executed claims lifecycle management utilizing ICD-10 & CPT coding guidelines, effectively addressing insurance denials to improve reimbursement rates. Oversaw daily operational workflows, establishing system automations and maintaining high-integrity digital records with minimal oversight. Directed training and onboarding of new administrative staff, ensuring compliance with clinic procedures.Sales Representative
Safelinx BPO · 2024 — 2025Handled high-volume calls while adhering to strict performance metrics, ensuring accuracy in data entry and maintaining records integrity. Employed advanced CRM systems to document customer interactions. Implemented de-escalation and conflict-resolution techniques to effectively manage challenging customer scenarios while complying with company guidelines.
Skills & Expertise
Education
- High School DiplomaBuanoy National High School · — — 2024
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