Work Terms

I performed all the tasks related to medical billing. I have also experience to communicate with doctors and other third-party healthcare staff i.e., insurances, doctors, and other third-party payers. Please feel free to contact me if you need my help.

Specialization:

• Verification of patient eligibility/Benefits
• Appointment Setter/Scheduler
• Medical Billing
• Medical Scribing
• Sending a fax/appeals
• Credentialing PECOS/CAQH
• Chat/Email Support
• Data Entry
• Medical Transcription

Tools:

• Excellent Typing skills (35-45wpm).
• MS Office.
• Microsoft Excel.
• Google Docs.
• Google Spreadsheet.
• Helpscout
• Arbor

Job Responsibilities:

• Patient Registration/demographics/insurance information
• Checking patient eligibility and benefits verifications
• Creating and submitting clean claims to insurance companies.
• Obtaining prior and retro authorizations for services
• Payments posting from ERA/EOB/websites and also patient payments.
• Denials management
• Aging report/Follow-up/Appeals
• Customer services and administrative assistance.
• Handling patient calls regarding payments and billing records
• Sending invoices to different offices and clients.

Medical Billing Software:

• AdvancedMD
• Kareo
• Officially
• Intergy
• ECW
• CureMD
• Athena
• PracticeFusion
• Practice Suite
• Zirmed/Waystar

Insurance web portals that I have used:

• Ability
• DDE
• CGS(Medicare)
• Palmetto GBA (Medicare)
• Noridian (Medicare)
• Novitas (Medicare)
• Navinet
• Availity
• UHC
• Cigna
• Optum
• Payspan
• Humana
• Molina Healthcare
• Health Firs

Core Skills and Competencies:

• ICD-10 codes
• CPT codes
• HCPCS codes
• Medical Terminology
• Medicare and Medicaid Guidelines
• Knowledge of Payer Reimbursement Characteristics and Billing Policies
• Medical Documentation Review

Thank you,
Fakhira Fiaz