At Medical Resources and Solutions, I manage full-cycle billing for hospital-affiliated clinics and outpatient practices, including Medicare and Medicaid claims. I review accounts receivable to identify denials, underpayments, and aging balances.
I use Cerner, Epic, Athenahealth, eClinicalWorks, and Netsmart to support billing workflows and clean-claim submission. I also coordinate eligibility checks, authorization requirements, charge entry, and coding accuracy.
When claims are denied, rejected, or underpaid, I investigate using payer portals and remittance advice, then coordinate corrected claims, reconsiderations, and appeals. I also support payment posting, reconciliation, and chiropractic billing with ChiroTouch.
At More ThanBilling, I submitted provider enrollment applications for Medicare, Medicaid, and commercial payers. I maintained enrollment records and followed up on applications and revalidation deadlines using CAQH ProView, PECOS, NPPES, and payer portals.
