Apply Buddy
support@applybuddy.ai | (123) 456-7899 | Silicon Valley, CA
Professional Summary
Senior medical billing specialist with a track record of leading initiatives involving claims submission, denial management, insurance follow-up. Drives process improvement, mentors peers, and delivers measurable outcomes.
Professional Experience
- Submitted 1,500+ claims monthly with a first-pass acceptance rate above 96%.
- Reduced A/R days by 14% through structured follow-up and denial root-cause tracking.
- Collaborated with coding and front-office teams to improve documentation accuracy.
- Posted payments and reconciled EOBs across commercial, Medicare, and Medicaid plans.
- Prepared aging reports and escalated high-value account issues to billing leadership.
- Supported compliance checks and payer-specific documentation requirements.
- Oversaw daily claim scrubs and submission queues for multi-provider practices.
- Reviewed payer trends and coached staff on denial prevention tactics.
- Prepared monthly AR and reimbursement reports for leadership.
Skills
Claims Submission, Denial Management, Insurance Follow-Up, Payment Posting, Revenue Cycle, EOB Reconciliation, Practice Management Software, HIPAA Compliance
Education
Certifications
- Certified Professional Biller (CPB)