I have extensive experience with various medical billing software systems, including Epic, Cerner, and Meditech. My proficiency includes claims processing, payment posting, and resolving billing discrepancies. I am adept at navigating the complexities of these systems to ensure accurate and timely billing, which has significantly contributed to reducing claim denials and improving revenue cycle management.

I manage a high volume of claims by prioritizing tasks based on urgency and complexity. I utilize efficient data entry techniques and maintain meticulous records to track progress. Additionally, I collaborate closely with the team to streamline processes and ensure timely follow-ups, which helps in maintaining a high throughput without compromising accuracy.

To resolve claim denials, I first analyze the reason for denial and then apply appropriate corrective actions. This often involves resubmitting claims with necessary adjustments, contacting insurance providers for clarifications, or appealing decisions when necessary. I also conduct regular audits to identify recurring issues and work on preventive measures to minimize future denials.

I stay updated with the latest insurance regulations and coding standards by regularly attending webinars, workshops, and obtaining relevant certifications. I also conduct internal training sessions for the team to ensure everyone is aligned with the latest guidelines. This proactive approach helps in maintaining high compliance standards and reducing legal risks.

In my previous role, I encountered a recurring issue where claims were being denied due to incorrect procedure coding. After thorough investigation, I discovered a software glitch that was causing the errors. I worked with the IT department to resolve the issue and implemented a new validation process to prevent similar errors in the future, which significantly improved our claim acceptance rate.