Thank you! For visiting my profile.
Being in this industry from last 9+ years i try my best to give 100%, i love my job because we provide care to our community. During this time i worked for old and valuable clients of related billing companies, and I am proud to be part o them. I have experience of various dimentions of this industry like communicating with US doctors and other third-party healthcare staff i.e. insurances, Doctors, clearinghouses, Office staff etc. I am a HIPAA compliant medical Billing specialist. My job including
• Office visit Aurhorization
• Patient Demographic and Charge Entry
• Insurance/Eligibility Verification & Benefits
• Claims scrubbing and submission
• Payment Posting (ERA /EOB/EFT/Patient Payments)
• AR and insurance follow-up
• Denials Management
• Appeals Filing
• Revenue Cycle Management
• Daily Weekly Monthly Reporting
• ICD + CPT Coding
• Payments posting and Account receivable PRACTICE MANAGEMENT
• New Practice Setup
• Improve Practice Revenue
• Coding and Compliance Coordination
• Insurance Audits
• Financial analysis
• Employee training
• Consulting/Training with practice staff
• Clients Relationship
• Scheduling patients appointments
• Handling patient/insurance/attorney calls
• Appeals on denials via call, written, fax for reprocessing/Faxes
• Monthly and annual custom reports preparation
• Enrollment/credentialing with all government & commercial plans
• EDI enrollment Claim/ERA/EFT setups
• Customer services and administrative assistance
• Handling patient calls and concerns regarding payments and billing
• Claims F/U on denials from insurances Claim status from insurance Portal and calls
• Submitting appeals for denied claims. ICD 10, CPT and HCPCS Coding review.
• Monthly financial reports •CMS fee schedule rate verification
• Sending invoices to different offices and patients
• Clients Core Skills and Competencies
• Medical Documentation review and Auditing
• Daily, Weekly, Monthly or Quarterly Reconciliation
• I have been working on Specialties
• Family practice • Internal medicine
• Chiropractic
• Cardiology
• Peeds
• Radiology
• Foot & Ankle
• Orthopedic
• OB-GYN
• Urgent care Child
• Pain management
• Physical therapy, Urology etc. Medical Billing Softwares:
• eCW •
Nextgen Healthcare
• Intergy
• PCN
• Docutap
• CareCloud
• Trizetto
• Optum
• Meditab
• talkEHR
• AdvancedMD
• Meditouch/Health fusion
• Intergy
• Chirotouch
• Practice fusion
Insurance web portals used:
• Medicaid
• Medicare
• Nevinet
• Availity
• Trizeto
• Optum
• Cigna
• Freedom Health Plan
• Magna Care
• All other commercial payers
• Having strong Medical billing background I m hoping for better career opportunities ahead, I m hopefull that my professional experience can help your business to grow and meet your need.