Renie James Tagura

I am a dedicated and detail oriented Medical Biller with over five years of experience in Revenue Cycle Management, specializing in outpatient mental health billing. I bring a strong background in end to end claims management, including eligibility verification, claims submission, denial management, and AR collections.

My responsibilities have included initiating and submitting prior authorization requests and securing approvals prior to claims submission. I manage mental health claims for major insurance providers such as UnitedHealthcare UHC, Cigna Behavioral, Carelon, CareFirst, and various Medicaid programs. I ensure timely and accurate reimbursement through diligent follow ups, denial resolution, and effective communication with payers.

Proficient in platforms such as Office Ally, Availity, and Carelon portals, I also utilize Epic to review and verify claims information. My experience extends to handling specific billing projects and supporting rendering providers, showcasing