I have over three years of experience working with RCM systems, including Epic and Cerner. My role involved managing patient billing, claims processing, and resolving discrepancies. I am proficient in using these systems to ensure accurate revenue tracking and compliance with healthcare regulations. My experience also includes training staff on system functionalities and troubleshooting technical issues to minimize downtime and improve efficiency.

When handling denied claims, I first analyze the denial reason by reviewing the Explanation of Benefits (EOB) and payer guidelines. I then correct any errors, such as coding issues or missing information, and resubmit the claim promptly. I also maintain detailed documentation and follow up with payers to ensure timely resolution. My proactive approach has significantly reduced denial rates and improved revenue recovery in previous roles.

In my previous role, I identified inefficiencies in the claims submission process, which caused delays. I implemented a checklist to ensure all required documentation was included before submission. This reduced errors and improved the first-pass acceptance rate by 15%. Additionally, I introduced a weekly review meeting to address recurring issues, which further streamlined operations and enhanced team collaboration.

I stay updated by regularly attending webinars, workshops, and industry conferences. I also subscribe to newsletters from organizations like AAPC and AHIMA. Additionally, I participate in online forums and network with peers to discuss regulatory changes. This proactive approach ensures I remain compliant with evolving standards, such as ICD-10 updates and HIPAA regulations, which is crucial for accurate billing and coding.

I prioritize tasks by assessing their urgency and impact on revenue flow. Critical tasks, such as resolving denied claims or addressing system outages, take precedence. I use project management tools like Trello to organize tasks and set deadlines. Regular communication with team members ensures alignment and helps me delegate effectively. This structured approach allows me to manage multiple responsibilities efficiently while maintaining accuracy and meeting deadlines.