Medical Billing Specialist / AR specialist

For last 6 years, I have worked as Medical biller and provide services for whole revenue cycle management. Ability to enter/submitting charges, eligibility /status Verification from different resources, EOB/ERA payment posting, and Denial management and follow up on unpaid claims. I like to resolve issues and always tried to find out root cause of issues. Want to explore more specialties and software’s.

SPECIALTIES:
Internal medicine, Endoscopy, Hospital billing, Skilled Nursing,

BILLING:
Office/In patient/out patient/hospital/no fault/worker compensation

I have worked in following fields of medical billing:

• Review medical record & Claim submission(CPT ICD10 coding)
• EOB Payment posting or refunds payments issues
• ERA downloading & posting
• Monthly check balancing and closing
• HCFA1500 printing and billing
• Insurance eligibility & benefits verification
• Follow-up with insurance companies for denied claims,
• Eligibility & benefits verification
• Patient demographics entry
• Obtaining Pre-authorization
• Credentialing
• Web logins creation for insurances
• Resolve billing issues & patient queries
• Worked on different software’s and specialties
• Worked on office /hospital/ Skilled Nursing,No fault & Worker Compensation.
• Insurance calls for eligibility, status & reprocessing claims
• Online Appeals of MCR/Aetna/Health first/HealthPartners/Emblem
INSURANCES: Medicare , Medicaid , BCBS , UHC , Aetna, Longevity, Emblem , Oxford , Cigna, Healthcare Partners , Tricare, Fidelis Care NY , 1199SEIU , AARP , Affinity , Amerigroup , Elderplan , First united American Life Insurance, Fallon Health plan ,Metro plus, Magnacare, Quality Health Plan of NY, Wellcare, VNSNY Choice, Total plan concepts and many more.


Medical Billing EMR/EHR software I worked on are
•Open PM
• Advanced MD
• Kareo
• Med fusion
• ECW
• Office Ally

Clearing house I worked with are:

• Emdeon
• Relayhealth
• GatewayEDI Trizetto
• Availity
• Navinet
• Office ally