I am a medical biller, working in this field for last 2 years,
MEDICAL BILLING SOFTWARE KNOWLEDGE
• E- CLINICAL WORKS
• KAREO.
• EZ CLAIM.
SPECIALITIES WORKED FOR
• INTERNAL MEDICINE.
• MENTAL HEALTH
• FAMILY MEDICINE.
I able to complete the following tasks,
• Download demographics/ face sheets from the hospital portal.
• Verify eligibility.
• Creating claims/ encounters.
• Claim submission.
• Processed data entries,
• Contacted physicians to obtain the patient’s medical records and submitting them to insurances.
• Checked patient’s referrals, verify eligibility from different portals.
• Worked on denials and rejections.
• Submission of W9 form.
• Submission of the corrected claim.
• Submission of claims through fax/ paper claims.
• Submission of reconsideration requests.
• Creating insurance portal accounts.
• Submitting authorization requests for SPRAVATO (behavioral health).
• Downloading and posting EOB/ERA.
• A/R follow-up.
• Submission of claims through Optum and office ally.
• Submission of proof of timely filing.
• Researched insurance policies/eligibility and educated team members.
• submission of LOI to insurances for credentialing.