I have over five years of experience in revenue cycle management, primarily focusing on accounts receivable and insurance follow-up. My role involved managing a portfolio of clients, ensuring timely payments, and resolving billing discrepancies. I am proficient in using various billing software and have a strong understanding of insurance regulations and coding practices.

When dealing with disputes or denials, I first review the claim to understand the reason for the denial. I then gather all necessary documentation and communicate directly with the insurance company to resolve the issue. If needed, I escalate the matter to a supervisor or involve legal counsel to ensure the best possible outcome for the client.

To improve cash flow, I implement regular follow-up procedures for outstanding accounts, ensuring timely communication with patients and insurance companies. I also analyze payment trends to identify and address common issues that delay payments. Additionally, I work closely with the billing department to streamline processes and reduce errors that could lead to delays.

I stay updated with the latest healthcare regulations and billing standards by attending industry conferences, webinars, and training sessions. I also conduct regular audits of billing practices to ensure compliance and implement corrective actions as needed. My goal is to maintain a high level of accuracy and integrity in all billing activities.

One challenging situation involved a major insurance company denying a significant portion of a client's claims due to coding errors. I worked closely with the coding team to correct the errors and resubmit the claims. I also negotiated with the insurance company to have the denials reconsidered, ultimately recovering over 90% of the denied amount. This experience reinforced the importance of meticulous coding and effective communication with insurance providers.