Sania

Medical Billing and RCM Specialist

Self-Employed / Freelancer • Tiempo completo

Aug 2008 - Present • 18 yrs 2 mos

I am a Medical Billing and Revenue Cycle Management professional with 18 years of experience helping U.S. healthcare practices improve collections and regain control of difficult billing operations. • Worked with practices facing high denial volumes, aging AR, repeated payer rejections, and slow reimbursement. • Investigated denial patterns by payer, procedure, provider, and denial reason to identify the real source of revenue leakage. • Improved first-pass payment performance by correcting issues before submission, including eligibility gaps, authorization errors, coding inconsistencies, demographic errors, and payer-specific billing requirements. • Built focused denial workflows so high-value and time-sensitive claims were worked first instead of allowing follow-up to become reactive. • Managed corrected claims, reconsiderations, appeals, underpayments, and payer follow-up through final resolution. • Reviewed aged receivables to separate collectible balances from contractual adjustments, filing-limit issues, credentialing problems, and claims requiring escalation. • Worked closely with front-desk and billing teams to reduce preventable denials caused by registration, insurance, authorization, and documentation errors. • Supported credentialing and provider enrollment issues when billing delays were tied to payer participation or enrollment status.

Medical Virtual Front Desk

Self employed / Freelance • Tiempo completo

Aug 2008 - Present • 18 yrs 2 mos

I am a Medical Virtual Front Desk professional with extensive experience supporting U.S. healthcare practices with patient communication and day-to-day front-office operations. • Managed high call volumes while maintaining accurate patient communication and professional call handling. • Scheduled, rescheduled, and confirmed appointments while helping practices reduce missed visits and last-minute gaps. • Verified insurance eligibility before appointments to reduce front-desk surprises and prevent avoidable billing issues. • Collected patient demographics, insurance information, and visit details accurately before the patient reached the clinical team. • Handled new patient intake, appointment requests, prescription messages, referral coordination, and general patient inquiries. • Followed practice-specific scheduling rules so appointments were booked correctly by provider, visit type, and available slot. • Managed patient reminders and follow-ups to improve attendance and keep the daily schedule organized. • Escalated urgent clinical messages appropriately while keeping administrative matters away from clinical staff. • Supported patient balance reminders and payment conversations in a professional and respectful manner. • Worked as an extension of the practice team, helping reduce front-desk workload while maintaining a consistent patient experience. My focus is simple: fewer missed calls, better scheduling accuracy, smoother patient communication, and less administrative pressure on the practice team.