grace muthoni
@gracemuthoni
Detail-oriented Accounts Receivable Specialist with leadership experience.
What I'm looking for
I am a detail-oriented and results-driven Accounts Receivable Specialist and Team Lead with over 3 years of experience in medical billing and healthcare revenue cycle management. My journey has been marked by a commitment to excellence, leading a diverse team of 10 AR specialists across Kenya, India, and Panama. I take pride in my ability to resolve complex insurance denials, maximize collections, and achieve high recovery rates across various payer types.
Throughout my career, I have demonstrated a strong proficiency in quality assurance, appeals handling, and coding issue resolution, underpinned by a deep knowledge of HIPAA, HCPCS, CMS, and LCD regulations. I am passionate about team development and driving continuous improvement in multicultural work environments. My technical skills include proficiency in EPIC, Imagine, Availity, and Waystar, and I have successfully collaborated with major insurers such as UHC, Medicare, Medicaid, Optum, and Blue Cross.
Experience
Work history, roles, and key accomplishments
AR Quality Assurance Lead
OnQ Global
Oct 2022 - Present (2 years 8 months)
Oversee AR quality assurance for teams across multiple countries, conducting audits and providing training to enhance billing practices and reduce claim rejection rates.
Accounts Receivable Specialist / Team Lead
California Medical Business Services (CMBS)
Dec 2021 - Present (3 years 6 months)
Lead a remote team of 10 AR specialists, managing daily operations, training, and mentoring. Resolve insurance denials, conduct QA audits, and ensure compliance with HIPAA regulations while achieving high collection rates.
Education
Degrees, certifications, and relevant coursework
Dedan Kimathi University of Technology
Bachelor of Science, Computer Science
2017 - 2021
Grade: Second Class Honors, Upper Division
Graduated with a Bachelor of Science in Computer Science, focusing on Software Development, Databases, Algorithms, and Systems Programming.
Karima Girls National School
Kenya Certificate of Secondary Education, Secondary Education
2012 - 2017
Grade: B+
Completed the Kenya Certificate of Secondary Education (KCSE) with a B+ grade.
Sacred Heart Girls Boarding School
Kenya Certificate of Primary Education, Primary Education
2006 - 2013
Grade: 384/500
Completed the Kenya Certificate of Primary Education (KCPE) with a score of 384 marks out of 500.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Skills
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