Jennifer M.

Professional Summary I am a Medical Billing & Revenue Cycle Specialist with over 25 years of experience supporting Medicaid heavy and multi payer healthcare operations. I specialize in claims follow up, accounts receivable management, denial resolution, and appeals, with a strong focus on accuracy, compliance, and timely reimbursement. My background spans healthcare operations, payer policy interpretation, and revenue cycle workflows across multiple states and Medicaid programs. I bring hands on experience reviewing claims from submission through final resolution, identifying root causes of denials, and implementing corrective actions to prevent repeat issues. I am Medical Billing & Coding Certified and experienced in navigating complex payer rules, eligibility verification, authorization requirements, and documentation standards. I work closely with providers, billing teams, and payers to resolve underpayments, recoup lost revenue, and improve overall billing performance. I am AAPC Credentialing Certified that can provide provider credentialing & enrollment support, CAQH profile setup and maintenance, Provider payer enrollment tracking, Medicare / Medicaid revalidation processes, NPI, Tax ID, and practice information verification, and Credentialing documentation coordination.