Maria Talib

RCM Specialist

CareCloud • Temps plein

Dec 2021 - Mar 2026 • 4 yrs 3 mos

• Proactively investigate and resolve claim denials and underpayments through forensic EOB/ERA review and strategic appeals. • Act as a primary point of contact for patient billing inquiries, explaining benefit coverage and claim processing details to ensure clarity and transparency. • Perform claim status checks through payer portals and outbound calls to insurance representatives. •Execute precise charge capture and payment posting while performing rigorous account reconciliations to resolve financial discrepancies. • Verify patient eligibility and benefits (VOB) through insurance portals and live calls to prevent front-end denials. • Coordinate with the billing and coding teams to resolve claim errors and reduce denials. • Ensure compliance with HIPAA regulations and billing guidelines. •Core strength is Payment Reconciliation—Managed complex payment reconciliation by matching multifaceted ERAs and EOBs to bank deposits, maintaining a zero-error financial ledger. •Proficiency in using various web portals, such as insurance company websites, clearinghouses and practice management systems. •Timely and error-free medical bills entry and posting of the reimbursements received from insurances. • Ensuring client satisfaction by an effective and regular follow-up on accounts receivables. • Managed and maintained patient accounts, ensuring compliance with HIPAA regulations.