Open to opportunities

Daniel Zambrano

@danielzambrano1

Insurance billing and revenue cycle professional who accelerates reimbursements, resolves denials, and improves payment accuracy.

Colombia

Message

What I'm looking for

I’m looking for a revenue cycle role where I can own insurance billing, denials, and payment accuracy—improving reimbursement and A/R performance while collaborating with a team that values detail, efficiency, and continuous process improvement.

I’m an insurance billing and revenue cycle professional focused on end-to-end operational accuracy and faster reimbursement. I manage patient eligibility processes, verify comprehensive benefits, and calculate deductibles, copays, coinsurance, and out-of-pocket estimates prior to service.

I also strengthen payment performance by managing insurance portals and ERA/EDI enrollment, investigating complex claim errors and rejections, and following up with payers to reduce A/R aging. I’ve led teams of billing specialists, built training materials, and improved payment posting efficiency through audits, EOB analysis, and evidence-based claim appeals.

Experience

Work history, roles, and key accomplishments

Insurance Billing Specialist

Stellar Clinic Zambrano

Oct 2025 - May 2026 (7 months)

Managed end-to-end patient eligibility and benefits verification to calculate patient responsibility amounts prior to service. Administered insurance portals and ERA/EDI processes, resolved claim errors and rejections, followed up with payers for outstanding balances, and submitted claim appeals for denials.

Patient Eligibility Benefit Verification Deductible Copay Coinsurance Estimate Insurance Portals EDI ERA Enrollment Payment Processing Claim Rejections Appeals Revenue Leakage Minimization

RCM Expert

F.I.T. Muscle & Joint Clinic

Jun 2023 - Aug 2025 (2 years 2 months)

Supervised and coached a team of 4 billing specialists, ensuring accurate payment posting, compliance, and efficient workflow execution. Trained staff, managed accounts receivable and denials, performed payment posting audits, and supported decisions using analysis of Explanation of Benefits (EOBs).

Team Leadership Accounts Receivable Denials Management Payment Posting Post Payment Auditing Explanation Of Benefits (EOB)ICD 10 CM Workflow Management ChiroTouch Availity Essentials Echo

Medical Billing Specialist

Lake Charles Memorial Health System

Jun 2022 - Jun 2023 (1 year)

Managed accounts receivable billing and collections to support timely and accurate billing. Identified root causes of denials, implemented corrective actions to reduce future denials, and helped overturn denied claims through detailed analysis and communication with payers.

Accounts Receivable Billing And Collections