Ayesha

RCM Expert

HS Medical Billing • Tiempo completo

Oct 2021 - Present • 4 yrs 7 mos

As an experienced Revenue Cycle Management (RCM) Expert at HS Medical Billing, I’ve been responsible for overseeing and optimizing the entire billing process, ensuring efficiency and accuracy. My key responsibilities include: Payment Posting: Posting payments and adjustments from insurance companies and patients with accuracy, ensuring correct account balances. Accounts Receivable (AR) Follow-Up: Managing AR aging reports, conducting follow-ups, and resolving denied or underpaid claims to reduce outstanding balances. Claim Submission: Submitting clean claims to insurance companies, addressing and correcting denied claims, and ensuring timely reimbursement. Verification of Benefits (VOB): Performing eligibility and benefits verification to confirm coverage before service delivery, minimizing claim rejections. Charge Entry: Entering charges for patient services promptly and accurately to ensure smooth billing cycles. HIPAA Compliance: Adhering strictly to HIPAA regulations, ensuring the confidentiality and security of patient data throughout the billing process. Reporting & Analysis: Analyzing financial data, producing monthly reports, and working with management to optimize the revenue cycle process. With a strong background in both business and IT (MBA, CS Bachelor’s), I’ve consistently contributed to improving operational efficiency, reducing claim denials, and enhancing cash flow for healthcare providers.