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Samuel
RCM Specialist
Contato
Competências
Handled end-to-end revenue cycle tasks including claims submission, denial management, and follow-up, ensuring revenue integrity.
Processed UB04 and CMS-1500 claims, reviewed errors, and performed corrections to ensure compliance with payor requirements.
Provided bilingual support assisting users with troubleshooting devices and resolving inquiries effectively.
Familiar with Availity, Epic Claims Editing, and healthcare data documentation, supporting claim accuracy and compliance.
Formação acadêmica
Resumo
Experienced healthcare revenue cycle management professional with a strong background in hospital claims processing, denials review, and compliance. Skilled in bilingual communication and technical system navigation to optimize financial workflows.
Principais conquistas
- Managed hospital claims for multiple payors, including Medicare, Medicaid, and commercial insurance, ensuring accuracy and compliance.
- Reviewed and corrected claim errors, supporting clean claim submissions and reducing denials.
- Provided bilingual support in customer service roles, enhancing communication with diverse clients and maintaining procedural accuracy.
Experiência
RCM SPECIALIST
Manage hospital claims (ub04 and cms-1500) for all payor types, including TPL payors, Medicare, Medicaid, and commercial insurance., Review and correct claim errors, handle incomplete claims, and support clean claim submission.
Bilingual Agent (Fitbit Support)
Assisted users with troubleshooting Fitbit devices, maintaining accurate documentation and adapting to new systems.
Bilingual Agent (Mercado Libre & AT&T;)
Supported Chinese sellers on Mercado Libre and U.S. customers for AT&T; while ensuring procedural accuracy.