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Summary
I have been working in Medical Billing line since 2016. During this period I have got vast experience of Medical Billing and have gained professional approach towards problem solution.I have extensive experience in Revenue Cycle management (Medical Billing, Medical Coding, Data Entry, A/R Resolution, Insurance Denial Resolution, Patient support and Client Support).
I have excellent knowledge with major Medical insurances companies.
My skills include calls to provider offices and insurance companies for claims follow-ups and other practice management issues, patient eligibility verification, data processing,charge entry, payment posting(Manual, from lock boxes, EOB, and ERA), denial management, Appeals, electronic/paper claims submission, Capitation and improve collection by f/u with insurance and patients on unpaid claims. My communication skills well above average
Experience
Benefits verification officer/AR Quality Specialist
Sr. Medical Billing /Account Receivable Specialist
Experienced in billing for Internal Medicine, Pediatric Cardiology, Cardiologist, Gynecologists and Radiology billing (CT scan, MRI, Ultrasound and X-rays)
Responsible of QA (Charge Entry, Payment Posting) (EOB, ERA)
Handling rejection issues
Verify ICD-9 and ICD-10 and HCPCS.
Working directly with the insurance company, healthcare provider, and patient to get a claim processed and paid
Reviewing and appealing unpaid and denied claimsAnswering patients’ billing questions
Managing the facility’s Accounts Receivable reportsPerform any other tasks assigned by management. Work independently from assigned work lists and also prepare any necessary documentation
Medical Billing
Follow up on Daily A/R, follow up on aging reports
Verified patients’ eligibility and claims status with insurance agencies
Called Insurance company inquiring reasons for denials and collection correction and resubmissions.
Performs other duties as assigned
Medical Billing Executive
Precisely evaluated and verified benefit and eligibility.
Precisely completed appropriate claims paperwork documentation and system entry.
Data entry updating & Creating Claims and Submit claims to Insurance Companies.
Accurately posted and sent out all medical claim.
Identified and resolved patient billing and payment issues.
Posted and adjusted payments from insurance companies.
Work with payers to determine reason for denials corrected and resubmitted with timely manner.
