MEDICAL BILLER at Comprehensive Orthopedic Care Center PC (2025-02 – Present)
- Submitted accurate claims for workers compensation to insurance payers, ensuring correct CPT, ICD-10, units, and modifiers based on orthopedic treatment documentation.
- Posted ERAs/EOBs, adjustments, and patient payments accurately into the billing system.
- Conducted thorough analysis of denials and rejections; corrected coding issues and resubmitted claims for timely reimbursement.
- Managed A/R follow-up by accessing insurance portals and contacting payers to resolve pending or aged claims.
- Processed appeals, corrected claims, and provided supporting documentation when required
MEDICAL BILLER at Delaware Diagnostic Labs (2024-05 – 2025-01)
- Managed full revenue cycle: eligibility, authorization, billing, payment posting, and AR follow-up
- Handled diagnostic laboratory billing, including claim submission, payment posting, A/R follow-up, and denial management.
- Reduced denials through clean claim submission and accurate verification
- Worked aging reports and resolved denied/underpaid claims
- Ensured compliance with ICD-10, CPT, and HIPAA standards
- Experienced with CentralReach and EMR/EHR systems
A/R Claims Specialist at Neupathway Psychiatric Services (2023-01 – 2024-03)
- Submitted accurate claims for workers compensation to insurance payers, ensuring correct CPT, ICD-10, units, and modifiers based on psychiatric treatment documentation.
- Posted ERAs/EOBs, adjustments, and patient payments accurately into the billing system.
- Conducted thorough analysis of denials and rejections; corrected coding issues and resubmitted claims for timely reimbursement.
- Managed A/R follow-up by accessing insurance portals and contacting payers to resolve pending or aged claims.
- Processed appeals, corrected claims, and provided supporting documentation when required
MEDICAL BILLER at California Health and Rehab Center Corp (2021-02 – 2022-12)
- Processed insurance claims from charge entry to submission
- Verified patient eligibility and benefits prior to billing
- Posted payments and reconciled EOBs/ERAs
- Handled denied claims and submitted appeals
- Performed AR follow-up to ensure timely collections
- Worked with U.S. insurance (Medicare, Medicaid, Commercial, PI cases)
- Utilized various billing software and clearinghouse platforms to manage claims efficiently