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Julian Carter-Rivera

@juliancarter-rivera

I resolve insurance claim denials and keep medical billing compliant.

United States
Message

What I'm looking for

I'm looking to apply my medical billing, denial resolution, payer policy research, compliance, and revenue cycle experience in a role where I can manage claims workflows and support effective billing operations.

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

MR
Current

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 logoAC

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

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