CMC Certified Coder with 2 years of experience in medical billing, denial management, claim follow-up, and eligibility verification.
Skilled in Epic, AdvancedMD, Salesforce, and streamlining billing workflows and reducing claim denials.
Proven record of improving revenue cycle efficiency and maintaining compliance with insurance guidelines.
Strong communicator with experience in handling payer interactions, appeals, and patient inquiries.
Experienced in analyzing claim denials and implementing process improvements to reduce recurring issues.
Adept at working in fast-paced, deadline-driven environments, ensuring high accuracy and productivity in billing operations.
Seeking to contribute expertise in Revenue Cycle Management (RCM) to healthcare organizations in Malaysia.
Overview
2
2
years of professional experience
3
3
Languages
Work History
Senior Executive Operations
Credence Resource Management
05.2024 - Current
Verified patient insurance coverage and eligibility with providers, ensuring 100% accuracy in patient demographic updates.
Reduced claim rejections by 12% through proactive Eligibility Verification and coverage validation.
Maintained up-to-date knowledge of insurance regulations, ensuring zero compliance issues during audits.
Leveraged experience from previous AR/billing roles to handle end-to-end claim cycle, including account follow-ups, discrepancy resolution, and updating insurer information.
Improved claim settlement rate by 15% by implementing best practices learned from prior roles in AR and insurance operations.