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@nanettehiggs
Experienced revenue cycle professional specializing in medical billing and denial management.
I am an accomplished medical billing and revenue cycle professional with experience across ambulatory surgery centers, physician groups, and hospital billing. I have a strong track record in full-cycle RCM, denial prevention and appeals, implant billing, payer compliance, and reducing AR days through proactive follow-up and process improvements.
I excel in patient-facing and front desk coordination roles, coaching peers to elevate performance, and using systems like Waystar, Epic, NextGen, SIS, and Nimble to streamline billing workflows. I seek a long-term opportunity where I can contribute my billing expertise, support team objectives, and continue to grow professionally.
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Work history, roles, and key accomplishments
Hunterdon Center for Surgery
Jan 2025 - Present (10 months)
Review and correct claim rejections and denials, driving timely resubmissions and payer appeals to reduce AR days and improve revenue cycle performance.
ENT and Allergy Associates
Mar 2021 - Sep 2024 (3 years 6 months)
Managed aging reports and appeals, reducing balances over 90 days through persistent follow-up and corrected claim submissions to improve collections.
Columbia University Doctors
Jan 2019 - Jan 2021 (2 years)
Entered and reviewed multi-specialty charges, verified eligibility and authorizations, and prepared appeals for medical necessity denials to maintain billing accuracy.
Prime Healthcare
Jan 2017 - Jan 2019 (2 years)
Managed hospital facility claims across settings, researched and corrected claim edits, and performed month-end AR reconciliation to ensure compliant reimbursement.
Bio-Reference Laboratories
Jan 2015 - Jan 2017 (2 years)
Processed high-volume laboratory claims, resolved coding and bundling denials, and produced denial trend reports to reduce repeat errors and improve reimbursement.
Degrees, certifications, and relevant coursework
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