🔑 Key Strengths
Denial Management Expertise: Skilled in handling inclusive denials, duplicate claims, COB denials, lab/CLIA rejections, global period surgery denials, and age-restricted CPTs. Experienced in rebilling and appeals. Claims & AR: Proficient in claim submission, split claims, recoupment, reversals, offsets, and AR follow-up for hospital, urgent care, podiatry, and FQHC settings.Eligibility & Verification: Strong background in payer eligibility, new patient qualification, coverage verification for office visits, telehealth, vaccines, and preventative services.Systems Knowledge: Hands-on with Epic, eClinicalWorks (ECW), DrChrono, and clearinghouses — fetching EOBs, managing rejections, and ensuring compliance.Specialty Experience: Internal medicine, urgent care, podiatry, and lab services — with deep knowledge of contractual adjustments and payer-specific rules.