RCM Specialist at RRAH (2026-05 – Present)
- Performed charge entry by accurately entering patient demographics, insurance details, and medical charges
- Performed payment posting by accurately reviewing and posting insurance and patient payments using payer portals, Electronic Remittance Advice (ERA), and Explanation of Benefits (EOBs), ensuring proper account reconciliation and payment accuracy
- Handled Accounts Receivable (AR) by monitoring aging reports, following up on outstanding claims, and ensuring timely payment recovery
- Processed and managed Prior Authorization Requests (PARs) for mental health services to ensure compliance with payer requirements
- Worked extensively on PRP (Psychiatric Rehabilitation Program) authorization and billing processes
- Managed OMHC (Outpatient Mental Health Clinic) concurrent authorizations, ensuring continuity of care and uninterrupted service approvals
- Coordinated with insurance payers, Medicaid plans, providers, and care teams to obtain and maintain required authorizations and approvals
Billing Specialist at SimiTree (2024-01 – 2026-04)
- Performed charge entry by accurately entering patient demographics, insurance details, and medical charges
- Created and managed patient demos and billing workflows using EZ Claim, Practice Fusion, and TriZetto
- Prepared and submitted claims to insurance companies through clearinghouses in a timely manner
- Reviewed and worked on claim rejections and denials, identifying errors and making necessary corrections
- Resubmitted corrected claims to ensure maximum reimbursement and reduced revenue loss
- Maintained accuracy and compliance with billing guidelines and healthcare regulations
- Tracked and updated claim status, ensuring proper follow-up on pending or rejected claims
Lead Account Manager Operation at MTBC (2024-01 – 2024-12)
- Supervised and managed a team of billing specialists, ensuring efficient handling of billing processes and achievement of targets
- Resolved billing discrepancies, ensuring accuracy and compliance with regulations
- Managed a portfolio of key accounts, focusing on client satisfaction and retention
- Led and mentored a team of account managers, providing guidance to achieve performance goals
- Developed and implemented strategic plans to grow accounts and increase revenue
- Built and maintained strong client relationships by understanding needs and delivering effective solutions
- Ensured clear and effective communication between clients, internal teams, and stakeholders
Account Manager Operation at MTBC (2021-01 – 2023-12)
- Check eligibility and verify patients' health benefits through insurance carrier websites
- Enter complete and accurate patient demographics and charge details
- Submit insurance claims (primary, secondary, and tertiary)
- Respond to patient billing inquiries based on information received from the provider's office
- Process patient billing according to provider instructions
- Manage and respond to emails efficiently related to billing and claims processes
