Joe Melvin
@joemelvin
Senior Medical Billing & RCM Specialist delivering high clean-claim rates, denial recovery, and HIPAA-compliant revenue cycles.
IndiaWhat I'm looking for
I’m a results-driven Medical Billing & RCM Specialist with 11 years of US healthcare Revenue Cycle Management experience. I specialize in infusion, physician, and pathology billing, consistently achieving a 98% clean claim rate and recovering $15K+ in annual underpayments.
I’ve led end-to-end revenue cycle work across complex ICD-10 and CPT coding and multi-platform claim workflows, including ECW, NextGen, and Kareo. I’m especially focused on denial management, AR follow-up, prior authorizations, and EOB processing to keep revenue moving and reduce treatment delays.
Across remote roles, I’ve improved performance through KPI-driven execution—reducing AR days by 25% (40 to 30), completing 95% of prior authorizations within 24 hours, and driving down coding errors and credentialing-related denials through targeted coaching and tracking dashboards. I bring a strong compliance mindset anchored in HIPAA and Medicare/Medicaid and keep outcomes measurable.
Experience
Work history, roles, and key accomplishments
Medical Billing Specialist
IVCare Infusion LLC
Jan 2025 - Present (1 year 5 months)
Managed end-to-end revenue cycle management for infusion services, processing 100+ claims per month with a 98% clean claim rate. Reduced AR days by 25% (40 to 30) through targeted denial appeals and copay assistance coordination, recovered $15K+ annually in underpayments via specialty drug reimbursement validation, and completed 95% of prior authorizations within 24 hours.
Education
Degrees, certifications, and relevant coursework
St. Xavier Polytechnic College
Diploma in Mechanical Engineering, Mechanical Engineering
Completed a Diploma in Mechanical Engineering from St. Xavier Polytechnic College in Tamil Nadu.
Availability
Location
IndiaAuthorized to work in
Job categories
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