Antoni Frangline

Lead end-to-end AR, billing, and denial management operations for US Healthcare clients, ensuring service delivery targets and quality standards are consistently achieved. Manage a team of 25+ associates responsible for a $1M+ DME billing portfolio and revenue cycle functions.

Led AR, billing, and denial management operations for US Healthcare clients, managing a team of 25+ associates and contributing to a 15% reduction in denial volume through focused denial analysis and process improvements.

Conducted quality audits across multiple RCM processes to ensure compliance with client requirements and internal standards. Performed denial trend analysis and root cause investigations, and collaborated with automation teams to implement rule-based audit solutions, increasing audit coverage by 25%.

Managed high-value AR accounts and payer follow-ups to maximize reimbursement and reduce aged AR. Handled complex denials, appeals, reconsiderations, and claim corrections across multiple payers.

Managed AR accounts and payer follow-ups to maximize reimbursement and reduce aged AR. Resolved claim denials and payment issues through payer communication and account analysis.

Managed AR accounts and payer follow-ups to maximize reimbursement and reduce aged AR. Resolved claim denials and payment issues through payer communication and account analysis.