i
imaarao

Imaa

@imaarao

Medical Billing specialist

Pakistan
English, Urdu
About me
HIPAA-certified Medical Billing and Revenue Cycle Management (RCM) Specialist with experience since 2022 managing the full revenue cycle from appointment scheduling to final reporting. Skilled in eligibility verification, prior authorization, charge entry, claim submission, denial management, AR follow-up, payment posting, and patient billing. Experienced working with providers across Texas, Michigan, Florida, and Delaware. Proficient in eCW, AdvancedMD, CareCloud, Tebra (Kareo), and TheraNest. Focused on maximizing reimbursements and reducing denials.... Read more

Skills

i
imaarao
Imaa
Offline • 
Average response time: 1 hour

See my services

General Assistance
I will provide expert eclinicalworks ecw emr ehr support billing reporting data entry
From$5 / projectMore details
General Assistance
I will do charge creation follow up payment posting everything on advancedmd
From$5 / projectMore details

Work experience

Medical_Expert Solutions

Medical Billing Team Lead

Medical Expert Solutions • Full-time

Jan 2022 - Present • 4 yrs 4 mos

* Manage the full revenue cycle for healthcare providers across multiple states, including Texas, Michigan, Florida, and Delaware, from patient registration to final reporting and reconciliation. * Perform insurance eligibility verification, benefits confirmation, and prior authorizations to minimize claim denials and delays. * Review provider documentation and ensure accurate CPT, ICD-10, and HCPCS coding for all services. * Prepare and submit electronic claims via clearinghouses, monitor acknowledgments, and resolve rejections to maintain high clean-claim rates. * Handle accounts receivable (AR) follow-up, track unpaid or underpaid claims, communicate with commercial payers, Medicare, and Medicaid, and manage appeals or corrected submissions. * Post payments accurately, including Electronic Remittance Advice (ERA) and manual posting; reconcile adjustments, write-offs, and patient balances. * Generate patient statements and respond to patient and provider billing inquiries via phone and email to maintain transparency and positive relationships. * Manage email communications related to billing operations and lead client meetings to review revenue cycle performance, resolve issues, and implement process improvements. * Prepare detailed reports and analyze revenue trends, denial patterns, and key performance indicators (KPIs) to identify opportunities for operational and financial improvements. * Utilize multiple medical billing platforms, including eClinicalWorks (eCW), AdvancedMD, CareCloud, Tebra (Kareo), and TheraNest by Ensora, adapting quickly to new systems and workflows. * Ensure full compliance with HIPAA and payer regulations while maintaining accuracy, efficiency, and confidentiality in all billing processes. **Key Achievements:** * Successfully managed the complete revenue cycle for multiple providers across different states, reducing denials and improving clean-claim rates. * Streamlined communication with patients, providers, and clients