Marlo L.

Dedicated Medical Biller with Proven Expertise in RCM | AR | Payment Posting | Denial Management | Insurance Verification for Commercial & Medicaid/Medicare Plans With over 5 years of experience in the healthcare industry, I offer expert medical billing services and a deep understanding of medical terminology, insurance regulations, and coding procedures. My skill set includes: ✅ EMR & Practice Management Systems: Proficient with systems like CentralReach, STI, EPIC, Tebra, Kareo, eClinicalWorks, Practice Fusion, Simple Practice. ✅Clearinghouses & Payor Portals: Experienced with Availity, Office Ally, Change Healthcare, and others ✅Claims Processing: Efficient in cleaning, reviewing, and submitting claims Tracking & Follow-Up: Monitor claim statuses, remittances, and proactively address unpaid claims ✅Denial Management: Expertise in managing and resolving denials ✅ Patient Invoices: Skilled in managing patient co-insurance, co-pays, and other responsibilities SKILLS ✅ Medical billing ✅ Claim scrubbing and follow-up ✅ Reading clearinghouse reports and re/submissions ✅ Contacting payors by phone and over the internet ✅ Knowledge of correct use of modifiers ✅ Prior experience with Claims in different States with portals: AVAILITY, CLOVER, MEDI-CAL CIGNA, UNITED HEALTHCARE, ECHO, NGSMEDICARE, PEARPROVIDER ✅ Ability to problem solve claims not just resubmit ✅ HIPAA compliance ✅ Customer service ✅ Time management ✅ Attention to detail EXPERIENCE • Managed all aspects of medical billing for a large medical center, including patient registration, insurance verification, claim submission, and denials management. • Successfully increased collections by 15% • Prio Authorization • Maintained a high level of accuracy and compliance with coding standards. • Appealing with claims both (Portal, Mailing and Fax) WHY YOU SHOULD HIRE ME? • I am a highly skilled and experienced medical biller with a proven track record of success. • I am proficient in a variety of practice management software programs. • I am HIPAA compliant and committed to providing high-quality customer service. • I am a hard worker and I am always willing to go the extra mile. PRIOR EXPERIENCE WITH EMR; ✅ EPIC ✅ ECW ✅ CentralReach ✅ Kareo ✅ Practice Fusion ✅ STI ✅ Tebra ✅ Simple Practice I look forward to working with you!