At CureMD, I recovered more than $1 million in unpaid, underpaid, and denied insurance claims while sustaining a 90% recovery rate. I use my medical training to review clinical documentation and make medical necessity arguments in appeals.
I follow aged balances through payer portals, DDE Medicare, and phone, prioritizing high-dollar and near-timely-filing claims. I also compare ERAs and EOBs with contracted rates to identify short payments and request reprocessing or reconsideration.
At Physician Revenue Group, I followed up on insurance and patient balances for physician groups across multiple specialties. I resolved stalled claims through corrections, reconsiderations, or appeals, and checked coverage and authorization requirements ahead of appointments.
My work has covered the revenue cycle from eligibility and prior authorization through claim submission, payment posting, denial resolution, and patient collections. I have worked with hospital and physician claims across commercial, Medicare, Medicaid, and Workers’ Compensation plans.
