- Execute full Revenue Cycle Management (RCM) and end-to-end Medicaid billing processes.
- Perform claim submission, denials management, corrections, and resubmissions.
- Verify eligibility, authorizations, service documentation, units, and modifiers prior to billing.
- Reconcile service logs against claim data to identify and resolve discrepancies.
- Monitor claim statuses and address compliance gaps.
- Maintain billing trackers, reconciliation sheets, and client records.
- Prepare billing and financial reports for U.S. healthcare clients.
- Communicate professionally with clients via email and phone regarding billing matters.
- Ensure strict adherence to state billing requirements and HIPAA confidentiality.
Microsoft ExcelHIPAA