Here are the key highlights of my experience:1. Oncology Process Expertise.- Collaborated closely to understand the intricacies of oncology treatments,procedures, and coding.- Accurately translated medical services, diagnoses, and treatments into appropriate CPT codes, ensuring compliance with industry standards.2. Revenue Cycle Management (RCM).- Managed the end-to-end revenue cycle, from patient registration to claim submission and payment reconciliation.- Streamlined billing workflows, reducing claim denials and improving revenue collection efficiency.3. GA Medicaid Resolution.- Successfully resolved complex billing, Dx and Modifiers issues related to CPT J0885 (Injection, darbepoetin alfa, 1 microgram)for GA Medicaid patients.- Collaborated with insurance companies, patients, and internal teams to address claim rejections, appeals, and outstanding balances.4. Attention to Detail.- Ensured accurate coding, proper modifiers, and adherence to billing guidelines.- Conducted regular audits to identify discrepancies and proactively rectify any billing errors.5. Team Collaboration.- Worked closely with billing managers, physicians, and administrative staff to optimize revenue processes.- Participated in cross-functional meetings to discuss process improvements and enhance overall efficiency.6. Software Proficiency.- Utilized industry-standard billing software (Proficient using Athena IDX & Centricity) to manage claims, track payments, and generate reports.

Responsibility:-1.Processed medical claims, ensuring accurate documentation and HIPAAcompliance with coding guidelines, maintaining a consistently low errorrate.2.Collaborated with insurance to resolve claim denials, resulting in asignificant increase in reimbursement rates.3.Demonstrated proficiency in medical terminology (CPT, ICD-10) andutilization of electronic health records (EHR) systems.4.Played a vital role in optimizing billing processes, leading to improvedclaim submission efficiency.5.Contributed to process improvement initiatives, resulting in enhancedefficiency.