Open to opportunities

GRACE JAMBIA

@gracejambia

Medical Billing & Revenue Cycle Specialist delivering accurate claims, denial resolution, and efficient reimbursement workflows.

Kenya

Message

What I'm looking for

I’m looking for a remote role where I can own medical billing and revenue cycle workflows—claims processing, denial management, and A/R follow-up—while supporting healthcare teams with accurate, HIPAA-compliant documentation and measurable performance improvements.

I’m a results-driven Medical Billing and Revenue Cycle Specialist experienced in claims processing, insurance eligibility verification, denial management, and accounts receivable follow-up. I verify benefits and prior authorizations before appointments, validate ICD-10 and CPT coding accuracy, and help ensure clean claim submissions for timely reimbursement.

I maintain HIPAA-compliant EHR records, investigate denials to coordinate corrective actions, and generate billing/operational reports to monitor claim status and revenue cycle performance. I also bring strong administrative and health records experience—from ICD-10 record coding and DHIS reporting to high-volume customer support using CRM tools—so I can support healthcare teams with reliable, detail-oriented remote execution.

Experience

Work history, roles, and key accomplishments

Current

Medical Billing & Admin Specialist

Current

Trinity Healthcare

Aug 2024 - Present (1 year 11 months)

Verify patient insurance eligibility, benefits, referrals, and prior authorizations to support clean claim submissions and correct ICD-10/CPT coding. Manage accounts receivable follow-up, investigate denial reasons, and maintain HIPAA-compliant EHR records while generating billing and operational reports.

Insurance Eligibility Verification Prior Authorizations Referrals Claims Processing ICD 10 CPT Coding Denial Management HIPAA compliance Billing Analytics Revenue Cycle Support Medical Records Management Patient Intake Patient Scheduling

Medical Billing & Admin Coordinator

Bright Health

Jan 2024 - Jul 2024 (6 months)

Process and submit medical claims using ICD-10 and CPT coding, supporting high first-pass claim acceptance. Verify insurance eligibility, conduct accounts receivable follow-up with payers, maintain HIPAA-compliant documentation in EHR systems, and assist with billing documentation and reimbursement monitoring.

ICD 10 CPT Coding Claims Processing Insurance Eligibility Verification HIPAA compliance

Administrative Assistant

Restoring Smiles Foundation

May 2023 - Dec 2023 (7 months)

Coordinate appointment scheduling and manage correspondence and administrative workflows. Prepare operational and staffing reports, handle confidential client information, and support executive leadership with documentation and administrative coordination.

Appointment Scheduling Correspondence Management Operational Reporting Confidentiality Documentation Administrative Coordination

Health Records & Information Officer

Langata Health Centre

Jan 2022 - Mar 2023 (1 year 2 months)

Code more than 1,000 patient records using ICD-10 to meet national reporting requirements. Maintain electronic medical records in DHIS and hospital systems, perform data quality audits, produce monthly and quarterly health information reports, and manage secure storage and retrieval of patient records while supporting public health reporting and research.

ICD 10 Electronic Medical Records Data Auditing Records Management Research Data Collection Health Records Management

Customer Support Agent

CCI Global

Jun 2021 - Dec 2021 (6 months)

Respond to high-volume insurance and customer inquiries via phone, email, and live chat, and resolve issues while documenting interactions. Use Salesforce, Zendesk, and Freshdesk, and collaborate with remote teams using Slack, Zoom, Microsoft Teams, and Google Workspace to meet quality and service-level performance targets.