Sadia Bano

Insurance Verification Specialist | Mental Health & Physical Health

Verification of Benefits • Freelance

Dec 2025 - Present • 9 mos

Managed and improved insurance verification for Mental Health and Physical Therapy services by checking eligibility, coverage, and authorization requirements. Used insurance portals to verify commercial, Medicare, and Medicaid benefits and documented coverage details accurately. Reviewed inactive insurance, coverage issues, and authorization requirements, and followed up with payers to confirm correct information. Communicated insurance benefits, patient responsibility, and authorization requirements to billing and clinical teams. Resolved insurance and authorization issues by researching payer requirements and updating insurance records, helping reduce front-end eligibility denials.

Medical Billing Specialist | Pediatrics & Nephrology

JCAT Solutions Virtual RCM • Temps plein

Jul 2024 - Sep 2025 • 1 yr 2 mos

Advanced to a leadership role managing Pediatrics and Nephrology billing, creating an early-alert system to identify rejected and aging claims before they became delayed. Led a financial records audit using the Kareo billing system, fixing data errors and improving billing processes. Reviewed patient demographics, insurance information, CPT, ICD-10, and HCPCS codes before claim submission to prevent billing errors and delays. Investigated denial reasons, corrected claim information, and resubmitted claims, resolving 75+ outstanding payer issues and recovering delayed payments. Corrected and resubmitted 50+ rejected claims monthly, helping improve cash flow and reduce claim aging.

Medical Billing Specialist | Cardiology

Edge MD Solution LLC • Temps plein

May 2023 - Apr 2024 • 11 mos

Led a billing improvement project for the Cardiology department, creating a tracking sheet to review old claims faster and speed up payments. Helped with an internal audit project using eClinicalWorks, organizing patient records and improving data accuracy. Checked patient demographics, CPT, ICD-10, and HCPCS codes before claim submission, finding 60+ billing errors each month and reducing claim processing time. Resolved 250 denials and 90+ rejections monthly, helping recover delayed insurance payments and improve overall revenue. Followed up on old and unpaid claims, researched payer responses, and resolved outstanding issues through timely escalation.