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Summary
A am success oriented professional with proven track in Medical Billing ,operations, problem solving, Team Management Excellent comprehension of complete billing work-flow as personally worked with all roles in Medical Billing operations. Proven leadership skills gained from managing a whole department.
CORE SKILLS:
Financial management, Practice Analysis, Accounts receivable analysis, Coding, Compliance, Workflow, Collections, Operations Management, People Management, Training, Client Relation.
MEDICAL BILLING SPECIALTIES:
Urgent Care, Radiology, General Medicine, Internal Medicine, Family Practice, Family Nurse Practitioners, Nurse Midwife, Pediatrics, Skilled Nursing, In-Patient Hospital, Out-Patient Hospital.
Experience
Medical Billing Associate
Medical Billing Associate will take the charge of the Practice and will perform the following Task:-
• Charge Entry
• Claim Coding
• Claim Submission (Via Electronic, Paper & Fax)
• Follow up on claims (Through Website's or Phone Call)
• Work on KPI's
• Payment Posting (from EOB's, ERA's).
• Prepare Appeals when claim got rejected.
Team Leader
Team leader will take the charge of the team and will perform the following Task:-
• Supervise the whole team and keep them updated of all changes in the rules & regulations of insurance carriers.
• Assign work and tasks to all team members on daily bases.
• Oversees the operations of multiple medical billing services, which may encompass medical coding, charge entry, claims submissions, payment posting, follow-up, and/or reimbursement management.
• Communication with overseas provider's/provider's office staff and insurance staff regarding issues of the medical claims.
• Reporting & Account receivables.
• Checking SSC Messages/Emails (from Providers’ offices, and other depts).
• To ensure quality, timeliness & accuracy in the entire billing process.
Billing Executive
Billing Executive will take the charge of the Practice and will perform the following Task:-
• Resolve medical claims related to issues of complex nature.
• Communication with overseas insurance staff regarding issues of the medical claims.
• Reporting & Account receivables.
• Handle the billing of American providers solely.To update team leader in all billing activities.
• To analyze and prepare appeals when claims are rejected.
• Checking Daily work (Scanning/other received from the providers’ offices)Checking SSC Messages/Emails (from Providers’ offices, NJ, and other depts.)
• MTBC Soft/MIS Reports checking (ERA, Financials, Aging, Submission. Missing Claims, Rejections, Blank Status, Calls, Unpaid Claims, Negative Balance).
• Coordinating with Team Lead for Daily Issues/practice concerns.
