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Summary
Medical Billing Specialist having 4+ years of professional experience & a top performing skilled professional
Sound knowledge about CPT and HCPCS procedure codes,ICD-10 CM,Fixing rejection and denials,Problem Claims Escalation,Appeals, Advance Eligibility including proper Eligibility Demonstration of Healthplan categories like HMO,PPO,EPO & POS, Patient Suppport.
Experience
Accounts Receivable Senior Executive
Medical Practices CCM,Internal Medicine,Family Medicine,Behavioral Health, Cardiology Software OfficeAlly, ECWManaging AR Denials.Working on EscalationProvider Enrollment and Credentialing.Daily Reporting.
Accounts Receivable Specialist
Working as an AR specialist and managing the RCM of the newly transitioned Client
Follow-up on insurance aging claims
US based insurance and hospital calling
Managing Denials and fixation
Hospital calling for obtaining Medical Records
Using Hospital Portals for obtaining medical Records
Preparing Medical necessity Appeals
Advance Eligibility
Payment Posting
Charge Creation
Reporting
Meeting Agendas
US Healthcare Medical Biller
Worked on following
Billing
Payment Posting.
Accounts Receivable
