Katherine Joy M.

I am a data-driven Revenue Cycle professional with over 6 years of professional experience spanning administrative operations, project coordination, and specialized healthcare administration. Leveraging an analytical background in engineering, I help healthcare providers streamline their billing and administrative processes, improving turnaround time, reducing billing delays, and maximizing reimbursement so they can focus on patient care. Currently specializing in medical billing and insurance verification, I expertly handle Medicare, Medicare Advantage, Medicaid, and Commercial plans. Core Responsibilities: • Patient demographics & insurance entry • Insurance Benefits and Eligibility verification • Claims submission and denial management • EOB/ERA Payment posting • Accounts receivable follow-ups • Pre-authorization initiation and verification • Medical billing workflow management • Appeals and corrected claims processing Systems Used: Greenway Health(Intergy) | Valant | Waystar | CharmEHR | NextGen Healthcare | Availity Medical Specialties Supported: Radiation Oncology Centers | Psychiatry & Family Services | Anesthesia Medical Groups | Diagnostic Imaging Providers | Private Medical Practices Payer Supported: Cigna | Select Health | UHC | Veterans Affairs | Medicare | Medicaid | Anthem | Carelon/Wellpoint | Anthem HealthKeepers | Fidelis Care | Horizon BCBS | Aetna Systems Used: Citrix | QNXT | TriZetto | Change Healthcare | Cotiviti | CCMS | VisionSuite | E-tracks | SHRPA | Optum | ECHO | Payspan | Palmetto GBA