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Nanette Higgs

@nanettehiggs

Experienced revenue cycle professional specializing in medical billing and denial management.

United States
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What I'm looking for

I seek a long-term RCM/billing role where I can reduce AR days, manage denials, coach teams, and grow professionally in a collaborative environment.

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.

Experience

Work history, roles, and key accomplishments

HS
Current

Medical Billing Specialist

Hunterdon Center for Surgery

Jan 2025 - Present (11 months)

Review and correct claim rejections and denials, driving timely resubmissions and payer appeals to reduce AR days and improve revenue cycle performance.

EA

Medical Billing Operations Specialist

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.

CD

Billing Specialist

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.

PH

Accounts Receivable Specialist

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.

BL

Billing/Collections Specialist

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.

Education

Degrees, certifications, and relevant coursework

Nanette hasn't added their education

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Tech stack

Software and tools used professionally

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Nanette Higgs - Medical Billing Specialist - Hunterdon Center for Surgery | Himalayas