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US Medical Claims & RCM Specialist | Specialty Biologics | AP & AR

📍  Remote · (0) · 🕒  2 months ago
12 $ Per hour

Service overview

I am a detail-oriented Medical Billing & RCM Specialist with over 5 years of hands-on experience navigating the US healthcare claims lifecycle. My expertise spans front-to-back revenue cycle management, specializing in accurate charge entry, insurance verification, and denial resolution for high-cost specialty therapies.



Having worked extensively within Asthma & Immunology care, I am highly adept at handling complex data management and billing workflows for specialty biologics like Xolair, Dupixent, Tezspire, Nucala, and Fasenra. I pride myself on maintaining a high standard of accuracy, navigating payer portals efficiently, and keeping operations strictly HIPAA compliant.



I work effectively as an independent remote asset or as a collaborative partner alongside clinic providers and office staff to protect revenue and streamline workflows.



Core Competencies & Tech Stack:



RCM Specialties: Full-Cycle Medical Billing, Claims Tracking, Demographics & Eligibility Verification, Payment Posting, Denial Resolution.

EHR/EMR Systems: athenahealth, eClinicalWorks, CollaborateMD, PointClickCare.

Primary Portals: Availity, Navinet, Payspan, Cigna, BCBS, Medicare Palmetto, and Specialty Co-pay Portals.

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