At PwC, I manage end-to-end medical billing operations for US healthcare clients using Epic. I review insurance claim denials, make corrections, and handle resubmissions and appeals.
I follow up with insurance payers on outstanding claims and analyze EOB/ERA reports to identify payment discrepancies and denial reasons. I also maintain compliance with HIPAA regulations and US healthcare billing guidelines.
At Omega Healthcare, I performed AR follow-ups for outstanding and aged medical claims. I investigated denials and underpayments, managed claim reprocessing and appeals, and verified insurance eligibility and benefits.
I reviewed EOB/ERA documentation and updated billing systems with claim status and documentation. I also contributed to reducing AR aging and improving claim resolution turnaround time.
