I have an extensive 8 years of experience in Medical billing, EDI, AR, and RCM. I'm a highly-skilled, self-motivated, and specialized in delivering high-quality services on time concerning strict deadlines and high expectations. What do I provide to my client? 

1- Provide Reliable & Cost-Effective Solutions 

2- Provide First Time Resolution (FTR) 

3- Service Delivery within Turn Around Time (TAT) 

4- Innovative & Continuous Improvement in service. 

5- Provide Quality work & unlimited Customer Support  

In these years, I was dealing with small & large group practices as well as individual providers. I had performed all the tasks related to Medical billing, such as Eligibility verification, Prior authorizations, Patient Data entry, creating claims (Office/Hospital/Nursing Home/Diagnostics Claims). Posted payments (ERA/EOBs), Electronic claims submission, EDI rejections, Insurance calls, follow-up on denied claims, worked on AR, prepare appeals, etc. 

I believe in providing quality services and client satisfaction, which is the only reason for my success. 

Job Responsibilities:

1: Patient Registration/Face sheet/demographics/insurance information. 

2: Checking patient eligibility and benefits 

3: Creating and submitting clean claims to insurance companies. 

4: Obtaining prior and retro authorizations for services 

5: Applying payments to accounts from ERA/EOB/websites and also patient payments. 

6: Aging report/Follow-up/Appeals 

7:Customer services and administrative assistance. 

8: Denials & Rejections management 

9: Handling patient concerns regarding billing 

10: Bookkeeping 

12: Sending invoices to different offices and clients 

13. Patient assistance (Inbound & Outbound)  

Core Skills And Competencies: 

• HIPAA Compliance 

• ICD-10 codes 

• CPT codes 

• HCPCS codes 

• Medical Terminology 

• Medicare and Medicaid Guidelines through CMS 

• Knowledge of Payer Reimbursement Characteristics and Billing Policies 

• Medical Documentation review and Auditing 

• Daily, Weekly, Monthly or Quarterly Reconciliation 

• Performs well in complex environments with little direction

Specialties I have been working for are as follow:- 

Urgent care 

Physical therapy 

Chiropractic 

Assisted Living Facility

 Psychology & Psychiatrists 

Mental & Behavioral health 

Acupuncture 

Family practice 

Internal medicine 

Cardiology 

Radiology 

In-patient & Out-patient hospital billing 

Nursing & Skilled Nursing billing 

Gynecology 

Pain Management & Rehabilitation  

Medical Billing software's:- 

PrognoCis 

Simple Practice 

AdvancedMD

 Kareo

OfficeAlly 

Athena 

ECW 

NextGen & Health Fusion 

Presidio 

FILEVINE

EHR/EMRs/Clearinghouse:-

Trizetto (Gateway) 

Kareo 

EHR Practice Fusion  

IMAGINE