Esther M. Blanc

Results-driven Revenue Cycle Management (RCM) Specialist with 10+ years of experience in healthcare billing, including ABA and behavioral health. Proven track record of managing full-cycle RCM operations across multi-state accounts, driving high collection rates (98% in 2025; 96% YTD 2026), and improving financial performance through proactive claim resolution and data-driven insights. Skilled in payer relations, denial management, and client communication, with a strong focus on optimizing workflows and enhancing provider satisfaction across Medicaid, TRICARE, BCBS, and commercial payers.

RCM Specialist at MeBe Family (2023-01 – Present)

Manage full-cycle RCM operations for five states (AZ, CO, TX, VA, WA), while supporting California accounts across Medicaid, TRICARE, BCBS, and commercial payers using Availity, Navinet, UHC Provider Portal, Anthem/BCBS portals, Tricare East/West, and state Medicaid systems.

• Serve as a key point of contact for internal stakeholders, providing guidance on billing processes, payer requirements, and issue resolution.

• Consistently achieve high collection performance, maintaining a 98% collection rate in 2025 and 96% year-to-date in 2026.

• Oversee accounts receivable, ensuring timely follow-up on outstanding balances through payer calls, portal research, and appeals submission.

• Conduct daily billing audits to identify and resolve issues including unconverted appointments, missing diagnoses, authorization mismatches, and modifier errors.

• Perform weekly batch billing to ensure accurate and timely claims submission.

• Manage patient responsibility invoicing, collections, and payment plan setup, improving cash flow and patient account resolution.

• Analyze denial trends and underpayments across multiple payer types, implementing corrective actions to reduce rejections and accelerate reimbursement.

• Handle medical record requests and cost projections to support financial planning and payer compliance.

• Collaborate with cross-functional teams to streamline workflows and improve operational efficiency.

Led end-to-end revenue cycle management operations across Medicaid, TRICARE, BCBS, Workers' Compensation, and commercial insurance plans, utilizing Availity, Navinet, Anthem/BCBS portals, Tricare systems, Change Healthcare, Waystar, Office Ally, Zelis, Payspan, and Medicaid state portals.

• Generated and analyzed weekly and monthly productivity and financial reports to guide operational decision-making.

• Identified and resolved billing discrepancies, improving reimbursement accuracy and reducing delays for both patients and payors.

• Delivered high-level customer service by addressing inquiries from patients, facility staff, and third-party vendors.

• Developed and implemented standard operating procedures (SOPs) to improve team efficiency and consistency across RCM processes.

• Managed and coordinated special projects, ensuring timely execution aligned with contractual requirements.

Reviewed outpatient physician claims for private insurance, BCBS plans, and Workers' Compensation, utilizing payer systems and claim platforms including Change Healthcare and Office Ally to validate coding and reimbursement accuracy.

• Investigated denied claim lines and determined final approval or denial outcomes based on payer guidelines.

• Produced daily reporting on claim batch findings, supporting transparency and quality control.

• Conducted in-depth research on coding updates and maintained detailed tracking in Excel-based reporting tools.

• Collaborated on ICD-10 transition initiatives, including development of ICD-9 to ICD-10 crosswalks and remark code implementation.

• Participated in client calls and webinars, providing subject matter expertise and resolving coding-related inquiries.

Bachelor of Science in Health Information Technology – Western Governors University (2023-08)

Associate of Applied Science in Medical Billing and Coding Specialist – Medtech College (2011-06 – 2012-09)