Ricardo T.

I am an experienced Medical Billing Specialist and Revenue Cycle Management (RCM) professional focused on optimizing cash flow through accurate and timely claims submission. I specialize in generating clean claims and use a structured claim scrubbing process to minimize errors, reduce denials, and speed up reimbursements. This approach improves both provider revenue and patient satisfaction. My expertise covers end-to-end medical billing, including charge entry, insurance verification, claims processing, denial management, and payment posting. I ensure all claims meet payer guidelines before submission, helping improve first-pass acceptance rates and reduce rejections. With over 11 years of experience in Medicare, Medicaid, HMO, and Mental Health billing, I have worked with U.S.-based organizations such as California and Indiana agencies, along with multiple Home Health agencies. I have extensive experience handling primary and secondary insurance billing, private payers, and Home Health Medicaid claims. I am proficient in billing software including Data Soft Logic, Kinnser (WellSky), DeVero, Homecare Homebase, Axxess, Alora, Kipu. I also have hands-on experience with electronic claims submission (EDI), clearinghouses, and manual claim filing. I regularly submit claims through Office Ally and other clearinghouse platforms, ensuring compliance with HIPAA standards and payer requirements.