Julian Carter-Rivera
@juliancarter-rivera
I resolve insurance claim denials and keep medical billing compliant.
What I'm looking for
I'm currently resolving complex claim denials at Meduit RCM, investigating root causes, correcting billing issues, and working with insurance carriers and legal partners to recover payment on patient accounts.
Previously, at Active Physical Therapy, I ran quarterly coding and documentation audits to identify compliance issues before they became claim denials. I also researched changing payer policies, coordinated day-to-day billing operations, and helped resolve and settle patient accounts.
Across more than eight years in medical billing, I've managed insurance verification, claims submission, denial resolution, accounts receivable, and revenue cycle workflows. I handle protected health information carefully under HIPAA and can independently manage a steady claims queue.
I've trained new hires on core billing workflows and job-essential skills, using systems including Epic, Meditech, Athena, and Waystar.
Experience
Work history, roles, and key accomplishments
Claims Analyst
Meduit RCM
Apr 2024 - Present (2 years 4 months)
Resolved complex claim denials by investigating root causes and correcting billing issues across a full patient account caseload. Researched billing trends and worked directly with insurance carriers and legal partners to recover payment on patient accounts.
Education
Degrees, certifications, and relevant coursework
Anne Arundel Community College
Associate of Applied Science, Computer Science
Earned an Associate of Applied Science in Computer Science from Anne Arundel Community College.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
Skills
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