Sania Jahan

Claim Submission & Denial Management

Precious by Flo • Fulltime

Dec 2025 - Present • 8 mos

Hello! I'm a Certified Professional Biller (CPB) with 3-5 years of experience helping U.S. healthcare providers, clinics, and private practices minimize claim rejections and maximize cash flow. Managing a medical practice is demanding — let me take the burden of insurance billing, patient demographics entry, clearinghouse rejections, and accounts receivable (A/R) follow-ups off your shoulders. I specialize in full-cycle billing to ensure clean claims go out on time and maximum reimbursement comes in. Core Expertise & Services: End-to-End RCM: From patient registration and insurance verification to claim submission and payment posting. ICD-10, CPT, and HCPCS Coding: Accurate coding review to prevent claim rejections. Denial Management & A/R Recovery: Investigating unpaid/denied claims, filing appeals, and recovering lost revenue. Credentialing Support: Helping providers enroll with insurance networks smoothly. Certifications: Certified Professional Biller (CPB) – AAPC HIPAA Compliance Training Proficient with Major EMR/EHR & Billing Software: eClinicalWorks (eCW), AthenaHealth, AdvancedMD, Kareo (Tebra), Practice Fusion, and Epic. I maintain strict adherence to HIPAA compliance guidelines and data privacy standards to guarantee secure handling of sensitive healthcare information. Let's work together to optimize your practice's financial health! 3. Experience Section 3-5 Years of Medical Billing & Revenue Cycle Management Experience Handled full-cycle billing for healthcare providers, from patient intake through final payment posting Reduced claim denials through accurate ICD-10/CPT/HCPCS coding review and pre-submission scrubbing Managed accounts receivable follow-up and denial appeals to recover outstanding revenue Maintained strict HIPAA-compliant handling of patient and billing data throughout Certified Professional Biller (CPB) — demonstrating verified competency in billing standards, compliance, and reimbursement processes

Insurance Billing Specialist

Transtecno Group • Fulltime

Jan 2025 - Oct 2025 • 9 mos

Certified Professional Biller (CPB) with 3-5 years of experience managing insurance claims and billing processes for healthcare providers. Skilled in claim submission, denial resolution, and accounts receivable follow-up, with a strong focus on accuracy, compliance, and maximizing timely reimbursement. Key Responsibilities: Reviewed patient accounts and verified insurance eligibility and benefits prior to billing to reduce claim rejections. Prepared and submitted insurance claims to Medicare, Medicaid, and commercial payers, ensuring accurate ICD-10, CPT, and HCPCS coding. Monitored claim status through clearinghouses and payer portals, resolving rejections and resubmitting corrected claims promptly. Investigated denied and underpaid claims, determined root cause, and filed appeals to recover outstanding reimbursement. Managed accounts receivable follow-up, prioritizing aged claims and coordinating directly with insurance payers to expedite payment. Posted insurance and patient payments, reconciling remittance advices (ERA/EOB) against expected reimbursement amounts. Maintained strict HIPAA compliance in handling all patient and billing information throughout the claims process. Communicated with providers and front-office staff to correct documentation gaps affecting claim accuracy. Assisted with payer credentialing and enrollment documentation to keep provider billing active and uninterrupted. Skills & Qualifications: Certified Professional Biller (CPB) — AAPC 3-5 years of hands-on insurance billing / revenue cycle experience Strong knowledge of ICD-10, CPT, and HCPCS coding standards Experience with EMR/EHR and billing platforms (e.g., eClinicalWorks, AthenaHealth, AdvancedMD, Kareo/Tebra) Proficient in denial management and A/R recovery Solid understanding of HIPAA compliance and patient data confidentiality Strong attention to detail and problem-solving skills Effective communicator with providers, patients, and insurance payers