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