CJ B.

Senior Healthcare Billing & Coding Specialist | RCM | Utilization Review | Credentialing| CAQH I help busy healthcare clinics stabilize their revenue cycle and eliminate billing, authorization, and credentialing bottlenecks. My expertise includes medical billing, utilization review, payer enrollment, and denial management across mental health, medical, and dental practices. I am a Senior Healthcare Virtual Associate and Revenue Cycle Management (RCM) Specialist with 11+ years of experience supporting US and Australian mental health, substance abuse, medical, and dental practices. I specialize in utilization review, provider credentialing, and end-to-end revenue cycle management—from insurance verification and authorizations to claims submission, denial management, appeals, AR recovery, and enrollment. I’ve worked with psychiatrists, therapists, substance abuse treatment centers, primary care clinics, OB-GYNs, and dental practices, managing complex authorization workflows (Detox, RTC, PHP, IOP, TMS), payer medical-necessity reviews, and full-cycle billing operations while maintaining HIPAA-compliant accuracy. 💰 WHAT I DO BEST (HIGH-VALUE SERVICES) ✔ End-to-End Revenue Cycle Management (RCM) ✔ Medical Coding, CPT, ICD-10, or Coding & Billing ✔ Utilization Review (PHP, IOP, RTC, Detox, TMS) ✔ Medical Necessity Appeals & Peer-to-Peer Coordination ✔ Insurance Verification & Benefits Investigation ✔ Prior Authorizations & Referrals ✔ Claims Submission (Electronic & Paper) ✔ Denial Management & Appeals ✔ Accounts Receivable (AR) Follow-ups & Cleanup ✔ Payment Posting & Reconciliation ✔ Patient Billing & Collections ✔ Provider Credentialing & Recredentialing ✔ CAQH Management, PECOS & Insurance Enrollment ✔ Facility Credentialing ✔ HIPAA-Compliant Medical Records Management 🧠 WHY CLINICS HIRE ME • I understand US & AU insurance workflows • I reduce denials and speed up reimbursements • I manage complex authorization & utilization review pipelines • I prevent revenue loss from credentialing delays • I communicate directly with payers on your behalf • I work independently with minimal supervision • I specialize in long-term retainer support, not short-term tasks 🏥 SPECIALTY EXPERIENCE Mental Health & Substance Abuse Psychiatry, Therapy, Detox, RTC, PHP, IOP, TMS Medical Primary Care, OB-GYN, Vascular & Vein Clinics, Wound Care, Radiology Dental Eligibility & Benefits Verification, Treatment Authorizations, Claims Submission I’m a great fit for: • mental health and behavioral health clinics • substance abuse treatment centers (Detox, RTC, PHP, IOP) • private medical, dental and mental health practices • telehealth startups • credentialing and RCM companies I offer monthly retainer packages designed to: • Reduce denials • Accelerate reimbursements • Stabilize cash flow • Eliminate authorization backlogs • Prevent credentialing revenue gaps 📩 Send me a message and tell me what’s currently slowing down your billing, authorizations, or credentialing.