grace wanjiru
@gracewanjiru2
Revenue cycle specialist with US medical billing expertise, HIPAA-focused and detail-oriented.
What I'm looking for
I am a results-driven revenue cycle professional with two years' experience in medical billing and revenue reconciliation within the U.S. healthcare environment. I specialize in claims processing, insurance verification, remit reconciliation and refund issuance while maintaining strict HIPAA compliance.
In my current role I compare insurance remits to posted payments, resolve discrepancies, issue corporate refunds, and reassign payments to balance accounts. I also compile insurance trend reports and train new team members on account workflows.
Previously I handled customer correspondence, updated insurance information, filed claims, set up payment plans and de-escalated sensitive patient issues by coordinating with coding, denial management and refunds teams.
I bring strong organizational skills, proficiency with EHR and payment/remit portals (Imagine, Waystar, ClearGage, Cedar, Phicomm/Availity and UHC portals), solid IT competence and a customer-focused, methodical approach to delivering accurate revenue cycle outcomes.
Experience
Work history, roles, and key accomplishments
Revenue Reconciliation Specialist
ONQ Global
Sep 2024 - Present (1 year)
Compare insurance remits with posted payments, resolve discrepancies to zero accounts, issue refunds, and report insurance trends while training new team members to improve reconciliation accuracy.
Customer Correspondence Specialist
ONQ Global
Jan 2024 - Sep 2024 (8 months)
Handled patient correspondence, verified insurance and HIPAA compliance, coordinated with internal teams to resolve complaints, filed claims, and managed patient payments and scheduling.
Education
Degrees, certifications, and relevant coursework
Jomo Kenyatta University of Agriculture and Technology
Bachelor of Science, Bioprocessing Engineering
2013 - 2018
Completed a Bachelor of Science in Bioprocessing Engineering, focusing on biological process design and operational techniques.
IAT Buruburu
ICDL Certification, Information Technology
2013 - 2013
Obtained an ICDL (International Computer Driving Licence) certification to validate core computer skills.
Bishop Gatimu Ngandu Girls High School
Kenya Certificate of Secondary Education, Secondary Education
2009 - 2012
Completed secondary education and obtained the Kenya Certificate of Secondary Education.
Availability
Location
Authorized to work in
Job categories
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