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I will do medical billing, healthcare claims processing, and denial management
Senior Claim Processor Executive
Results-driven Healthcare Claims Professional with 14+ years of experience in Medicare, Coordination of Benefits (COB), and Health Rules Payor (HRP). I specialize in healthcare claims processing, clai...
About this Gig
Are you struggling with unpaid claims, denials, or slow reimbursements? I can help.
I'm a healthcare claims professional with 14 years of experience in Medicare, Coordination of Benefits (COB), and Health Rules Payor (HRP) claims processing. I specialize in accurately reviewing, adjudicating, and resolving complex healthcare claims while ensuring full HIPAA compliance.
What I offer:
Medical claims review and processing
Denial management and root-cause analysis
Appeals filing and resubmission of corrected claims
Medicare and COB claims handling
Compliance with US healthcare regulations and HIPAA guidelines
Accurate, detail-oriented data entry with strict TAT adherence
Why work with me:
- 14+ years of hands-on healthcare claims experience
- Proven track record of high accuracy and quality in complex, high-value claim scenarios
- Strong understanding of claim lifecycles, EOBs, and insurance payer requirements
- Reliable communication and quick turnaround
Whether you need ongoing weekly support or a dedicated monthly retainer for your billing operations, I'm here to help reduce your claim backlog and improve your reimbursement rate.
Purpose:
Business
Work model:
Daily
•
Weekly assistance
•
Monthly retainer
My Portfolio
FAQ
Do you have experience with US healthcare claims?
Yes, I have 14 years of experience specifically in US healthcare claims processing, including Medicare, Coordination of Benefits (COB), and Health Rules Payor (HRP) claims.
What is your typical turnaround time?
Turnaround time depends on claim volume and complexity, but I maintain strict adherence to agreed TAT (turnaround time) and prioritize accuracy without compromising speed.
Do you ensure HIPAA compliance?
Absolutely. I strictly follow HIPAA guidelines and healthcare compliance standards in every claim I process, ensuring full data privacy and regulatory adherence.
Can you handle denial management and appeals?
Yes, denial management is one of my core strengths. I investigate root causes, correct and resubmit claims, and file appeals with proper documentation to maximize reimbursement.
Which billing/claims software have you worked with?
I have hands-on experience with RUMBA claim management systems used for Medicare and COB processing. And also work on HRP (Health Rule Payor) platform. I'm also a quick learner and can adapt to platforms like Experity, DocuTap, or other EMR/billing systems as needed.
