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Revenue Cycle Medical Billing

Location:
Cincinnati, OH
Posted:
June 15, 2025

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Resume:

IVA BLAIR

**** ******** **** • Cleves, OH *****

513-***-****

***********@*****.***

PROFESSIONAL SUMMARY

Experienced Medical Billing and Revenue Cycle Specialist with 21+ years in healthcare billing, claims management, denial resolution, and client services. Adept at using internal systems to correct billing and registration errors, address payer rejections, and ensure timely reimbursement. Proven success in overturning denials, maintaining accurate patient financial records, and consistently exceeding performance KPIs. Recognized for critical thinking, communication, and a commitment to continuous improvement in fast-paced, high-volume environments. PROFESSIONAL EXPERIENCE

Client Experience Manager / Medical Billing UNISLINK - Oct 2022 - Mar 2025 Utilized revenue cycle systems to identify and correct billing rejections, claim edits, and registration issues.

Investigated unpaid and underpaid claims; drove recovery through appeals and root-cause analysis.

Maintained detailed patient account notes to support accurate audits and financial tracking. Exceeded departmental KPIs while resolving high volumes of billing issues and client inquiries. Led process improvements that increased first-pass resolution rates and reduced claim denials. Supported intake and pre-billing review processes for claim accuracy and payer compliance. Charge Entry Specialist UNISLINK — Concurrent Role Entered and reviewed charge data for accuracy and completeness. Partnered with billing and coding teams to resolve charge discrepancies. Improved charge accuracy by refining workflows and highlighting systemic issues. Ensured real-time error correction to align with organizational performance metrics. Customer Service Representative LUXOTTICA - Oct 2021 - May 2022 Handled high-volume inbound calls; resolved billing and service inquiries efficiently. Applied critical thinking and multitasking skills to enhance customer satisfaction. Maintained accurate documentation and followed standardized scripts and procedures. Medical Assistant / Medical Biller Beacon Orthopaedics & Sports Medicine - Jun 2004 - Jul 2020

Managed full-cycle billing: verification, charge entry, payment posting, and AR follow-up. Appealed denied claims and corrected payer issues to reduce revenue loss. Maintained HIPAA-compliant records; supported care coordination through documentation. Streamlined scheduling and billing processes, improving patient flow and service delivery. Verified insurance coverage and processed pre-authorizations efficiently. SKILLS

Claims Processing & Denial Resolution (Expert)

Revenue Cycle Systems (Experienced)

Billing Edits & Registration Accuracy (Expert)

Accounts Receivable Follow-Up (Experienced)

Patient Financial Record Maintenance (Expert)

Appeals & Payer Communication (Experienced)

Critical Thinking & Problem Solving (Expert)

Multitasking & Time Management (Expert)

KPI-Driven Performance (Experienced)

Verbal & Written Communication (Expert)

EDUCATION

License – Moore University of Hair Design Cincinnati, OH Sep 1990 – Jun 1991 High School Diploma – St. Bernard Elmwood Place High School, Cincinnati OH REFERENCES

Available upon request.



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