I am a results-driven professional with a proven track record in enhancing medical billing operations. I have managed a high volume of claims with an exceptional 98% accuracy rate, ensuring prompt reimbursement. I spearheaded process improvements, leading to a 15% reduction in claim denials and a 20% decrease in accounts receivable days outstanding. My collaborative approach with cross-functional teams resulted in a 25% increase in clean claim submissions. My skills in medical billing, revenue cycle management, and back office operations, combined with a proficiency in Excel, make me a valuable asset for optimizing operational efficiency and driving positive financial outcomes.
Overview
4
4
years of professional experience
Work History
Freelance Salesforce Developer
Health Cloud
02.2025 - Current
Developed and configured Salesforce Health Cloud solutions to streamline healthcare workflows.
Implemented automated processes using Salesforce Flow, including data automation and guided user screens.
Wrote and maintained Apex triggers to execute complex business logic and manage data.
Managed data uploads and configurations as a Salesforce administrator, ensuring data accuracy and integrity.
Associate Payment Posting
MDI REVEX
02.2023 - 01.2025
Enhanced medical billing operations by managing a high volume of claims with an outstanding accuracy rate of 98%, ensuring prompt reimbursement from insurance providers.
Spearheaded process enhancements, yielding a remarkable 15% reduction in claim denials and a substantial 20% decrease in accounts receivable days outstanding.
Collaborated with cross-functional teams to pinpoint and address intricate billing issues, resulting in a notable 25% increase in clean claim submissions.
Posted payments from ERA (Electronic Remittance Advice) and paper EOBs (Explanation of Benefits).
Posted denials, adjustments, refunds, and write-offs as per payer policies.
Ensured accurate allocation of payments to patient accounts, CPT codes, and claims.
Identified and posted denials with correct reason codes.
Daily reconciliation of deposits with bank statements.
Matched payment batches with deposit slips and payer remittances.
Familiar with payer-specific rules (Medicare, Medicaid, Commercial).
Posted 150+ payments daily (ERA & manual EOBs) with 99% accuracy, ensuring timely and correct allocation.
Partial Hospitalization Program Manager at CentraCare Health - St. Cloud HospitalPartial Hospitalization Program Manager at CentraCare Health - St. Cloud Hospital