Sabrina Upshur

Dedicated and highly organized Medical Billing Specialist with a proven track record of managing charge postings, resolving claims discrepancies, and optimizing revenue cycle workflows for healthcare providers.

Medical Billing Specialist III - Strategic Solutions

(2016 - 2026)

• Posted medical charges, co-pays, and insurance payments for multiple medical offices with high accuracy.
• Researched, corrected, and resubmitted unpaid or denied claims to insurance carriers to secure proper reimbursement.
• Audited patient accounts and verified insurance eligibility, coverage limits, and coordination of benefits.
• Communicated professionally with patients, physicians, and insurance representatives to resolve complex billing inquiries.
• Managed the full cycle of accounts receivable (A/R), identifying aging accounts and executing targeted follow-ups to reduce outstanding balances.
• Analyzed Explanation of Benefits (EOBs) and Electronic Remittance Advices (ERAs) to ensure accurate payment posting and adjustment application.
• Utilized clearinghouse portals to track claim status, identify submission errors, and implement corrective actions prior to transmission.
• Maintained up-to-date knowledge of ICD-10-CM, CPT, and HCPCS coding guidelines to ensure compliance and prevent billing discrepancies.
• Assisted in preparing monthly financial reports, tracking key performance indicators (KPIs) such as clean claim rates.

Direct Support Professional - The ARC of Rensselaer County

(2014 - 2016)

• Supported individuals with daily living activities, including meal preparation, shopping, and housekeeping.
• Assisted clients with daily employment tasks and recreational activities to promote independence.

Data Entry Technician - Express Scripts

(2010 - 2013)

• Reviewed, verified, and entered mailed and faxed prescriptions into a secure pharmaceutical database.
• Collaborated with patients and medical professionals to resolve missing non-clinical information and insurance details.

Regents Diploma