Experienced for more than 10 years as Medical Billing Revenue Cycle Management Specialist.
• In-depth knowledge of medical terminology, Medical billing processes with the experience on computer system.
• Exceptionally good at dealing with the queries and complaints of the customer and identifying the solution.
• Very energetic, hardworking and self-motivated.
• Excellent in communication both verbally and written with the organizational and interpersonal skills.. ♦ Certified Medical Billing Coding–RCMS ♦ Medical Revenue Cycle Consultant ♦ Certified HIPAA Professional ♦ Centralized Accounts Pay. Practice Audit ,Implement Quality Tool Checks , Biller KPI , Daily weekly monthly Client Reports. Error logs
• Experienced for more than 10 years as Medical Billing Revenue Cycle Management Specialist (professional & Emergency Room Billing).• In-depth knowledge of medical terminology, Medical billing processes with the experience on computer system.• Exceptionally good at dealing with the queries and complaints of the customer and identifying the solution.• Very energetic, hardworking and self-motivated.• Excellent in communication both verbally and written with the organizational and interpersonal skills.. ♦ Certified Medical Billing Coding–RCMS ♦ Medical Revenue Cycle Consultant ♦ Certified HIPAA Professional ♦ Centralized Accounts Pay. Emergency Room Billing. Practice Audit Implement Quality Tool Checks , Biller KPI , Daily weekly monthly Client Reports,With 8 years’ experience in the medical billing field, I am a young, enthusiastic medical billing professional and extremely proficient with chart audit, super bill coding, Eligibility Specialist, Patient Statements, verifying insurance information, billing claims and providing follow up on unpaid claims, maintaining files, compiling reports, answering multi-line phones, scheduling meetings and also for receiving and posting payments to the correct accounts. My experience with customer service provides me with patience and understanding when helping in a variety of different situations. I am extremely organized and am very proficient with computer applications including Microsoft Word, Excel, Publisher and email applications and also have experience in multiple EHR and EMR softwares like MTBC Software Kareo, EClinical Works, IPEMR ,Office Ally, Simplify, Medisoft and many more.I have excellent customer and interpersonal experience and skills. I am competent at compiling data for reports, coordinating projects and gathering information for correspondence. My typing rate of over 40 WPM make me a great data entry candidate. I have knowledge and experience with ICD-9 and ICD-10 coding practices. I am able to meet deadlines and complete tasks in a timely manner. You will find that I have the ability to quickly learn any task that needs to be handled.
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Senior Team Lead operation (Quality Assurance, Audit, Production, AR)
MD Tech ( August -2018 to Present)
Responsibilities include:
• Implement the Quality Tools checks to Improve the Revenue of Clients
• Verified the daily production Charge Creation Payment posting Denial, fixation, AR
• Verified the daily productivity for all operation department
• Verified the Biller KPI
• Practice Audit (New and Old Clients)
• Make sure to Quality of work
• Conduct the training secession
• Disscussed the belling Error for Operation department
• Verified the daily transaction
• Updated the Biller Error Log daily weekly monthly
• Client Meeting and Published the Minutes of the Meeting
• Updated the Clients Sops regarding Billing
• Client Reporting daily weekly monthly
• Client Communication
• Trained the Fresh resource
• Guide the billing department how we improve the revenue of Clients
• Shared the Error Log with management and Conduct the training for Medical biller
• Verification of Patient Statement and Concerns
Organize the team and motivate and inspire the team member
• Explain and use team goals and objective. Supervise the whole team and keep them update of all Changes in the rule and regulation of insurance carries.
• Assign the task to member daily basis and got the sing off.
• Verified the problem list before send to the Client
• Daily basis sends the Acknowledgement report to provider.
• Response to Provider Quires and E-mail and regarding any Concern.
• Client Reporting (Daily, weekly, monthly)
• Send the Month Close report to provider
• Handle all the financial record of clients such as charges, payment, adjustment, monthly revenue, target budgeting, techniques used to meet the targets of payments, critical analysis related to charges and payment variance etc.
• To assist Manger Operation & Assistant Manager in all billing related activity.
• • Coordinate with other department about any Concern.
• • Conduct the OJT to guide the Team Member about Medical Billing
• • Guide the team Member regarding Denial and rejected Claims how to fix the issue at run time
• • Guide the Team member about ageing and also guide them how to reduce ageing.
(Team Lead operation) November ,2015 August 2018
Team Lead MTBC
Responsibilities include:
• Managing the Medical Billing and Collections Team of over 20 employees.
• Responsible for management of the Billing & Collection department includes revenue cycle
• Having experience Basic EMR/EHR software knowledge, medical group billing including data reporting and analysis or related experience
• Monitoring, track and address staff workflow, production and quality issues.
• Develop and provide performance metrics to management and to the team.
• Identify trends and implement action plans to maximize revenue.
• Generate month end reports using advanced Excel functions for management reporting.
• Interact with Insurance Carriers as needed.
• Conduct performance reviews of all personnel on the team.
• Develop new and effective business processes to maximize productivity and ensure quality.
• Develop tracking and analysis for medical claims from billing through final resolution.
• Understand, oversee and resolve all medical claims, insurance verification and eligibility, patient responsibility, short pays, payment posting, EOBs, appeals, denials, reimbursements, co-pays, deductibles, appeals, and adjustments.