Toby Mclaren

Successfully manage end-to-end medical billing cycle, ensuring timely and accurate claim submissions

• Consistently maintain a clean claim rate of over 95%, minimizing denials and delays
• Proficient in CPT, ICD-10, and HCPCS coding, with strong attention to payer-specific guidelines
• Handle eligibility checks and benefit verification prior to patient visits, improving approval rates
• Skilled in working across multiple EHR platforms (e.g., ChiroTouch, AdvancedMD, DrChrono)
• Track and resolve claim rejections swiftly through real-time edits and corrections
• Communicate with providers and insurance reps to resolve billing concerns and improve workflow
• Ensure full HIPAA compliance in all documentation and billing practices
• Verified accuracy of accounts payable payments, resulting in 98% reduction in payment errors and check reissues.
• Verified accuracy of accounts payable payments, resulting in 98% reduction in payment errors and check reissues.
• Verified accuracy of accounts payable payments, resulting in 98% reduction in payment errors and check reissues.

• Oversee AR follow-ups for 18+ active clients across multiple states, improving recovery rates
• Maintain AR aging at industry benchmarks, with focus on reducing >90-day balances
• Resolve complex denials and underpayments through appeals and negotiation
• Analyze AR reports weekly to identify trends, gaps, and opportunities for faster collections
• Collaborate with team to close outstanding claims and boost monthly revenue consistently
• Implemented structured follow-up processes, leading to a 20–30% reduction in pending AR
• Strong coordination with payers and clearinghouses to expedite reimbursements
• Maintained accurate records of all correspondence with clients using CRM software, ensuring seamless handover between team members when necessary.