At CLOUDRCM SOLUTIONS, I recovered $1.2 million annually by correcting systemic coding errors in cardiology and orthopedic claims. I also refined clearinghouse edits and trained front-office staff, raising clean claim accuracy to 98%.
I streamlined denial management workflows with automation and payer-specific rules, cutting AR days from 45 to 28. I also secured 15+ payer contracts, increasing reimbursement rates by an average of 12% across commercial plans.
At CODEMAX MEDICAL BILLING, I processed 1,500+ claims weekly while maintaining 99% accuracy in ICD-10 and CPT coding. I recovered $150,000+ quarterly by resolving aged claims and reduced denials by 20% through pre-submission audits and accurate modifier application.
At NEXUS HEALTHCARE SOLUTIONS, I enrolled 40+ providers across 25 payers while maintaining 100% compliance with CAQH and PECOS requirements. I eliminated a six-month enrollment backlog, releasing $200,000 in held claims for reimbursement, and helped reduce authorization-related denials by 90%.
