Followup on denials, calls to insurance, prepare appeals

Four Years working experience as Sr. Medical Billing Executive in Xonics Medical Billing LLC. (Feb 2014, Feb 2018)


Worked on Nephrology (Specialist), Internal Medicines, Physical Therapy for different states (Florida, Michigan and New York)


Responsibilities:


Reviews health record documentation, super bill, computer generated reports and other reporting tools to identify all services and procedures performed by physicians.

Assigns appropriate CPTs and HCPCS codes.

Assigns appropriate ICD-10 diagnosis codes selecting the codes that accurately describe the condition for which the service or procedure was performed.

Prepare, review, and transmit claims using billing software, including electronic and paper claim processing

Obtains and submits copies of medical documentation as required or requested by third party payers.

Follow up on unpaid claims via Phone calls, IVR, or web portals within standard billing cycle timeframe.

Research, fix, and appeals for denied claims

Posting payments and billing to secondary/tertiary insurances.

Analyzes and resolves claim rejections and denials related to coding issues.

Prepares, reviews, and sends patient statements

Answers patient questions, identifies and resolves patient billing complaints

Batch Verifications

Payment Posting
- Eras/EOBs

ERA Payer Denials

Patient Payments

Create web logins

• Other duties as advised by the Supervisor/Manager.

SOFTWARES:
E-Clinical Works (ECW)
Kareo
Officeally
Insync (Web based)
Ebridge (Web Based)