Cerner , next gen , Meditech, Epic
Send a job offer directly to this candidate
I have 7 years of experience in Medical Billing with strong expertise in AR Follow-Up, Prior Authorization, Insurance Verification, and Appeals handling. In my current and previous roles, I have worked extensively on claim follow-up, denial management, eligibility and benefits verification, obtaining prior authorizations, and submitting both corrected and appeal claims to insurance companies.
I have experience working with commercial and government payers, reviewing EOBs and ERAs, identifying denial reasons, and taking appropriate action to ensure maximum reimbursement. I am also skilled in preparing and submitting appeals for denied claims, including medical necessity denials, authorization-related denials, timely filing, and coding-related issues.
Additionally, I am comfortable communicating with insurance representatives and provider offices through calls and portals, maintaining productivity targets, and ensuring accurate documentation. I am detail-oriented, a quick learner, and confident in handling challenging AR accounts independently.