I have a total of 7 years and 7 months experienced working in a Medical Billing and Collection Companies that are based in California, USA. I am familiar in dealing with third-party payors, mostly commercial insurance in the US eg. Blue Cross, Blue Shield, UHC, Aetna, Cigna, Kaiser, and other HMO's. I also have experienced in handling Worker's Compensation and Personal Injury Cases.
I have worked on all function of medical billing and also did quality check for same. I have also prepared training manual for AR and payment posting. I have great experience of working on below mentioned functions of Medical billing.
✅Patient Registration
✅Insurance Verification
✅Retro-Authorization Request and verification
✅Evaluation of valid HCPCS codes, ICD 9-10 and Modifier
✅Fixing Rejected Electronic claims
✅Checking clearing house reports (P2P, Availity)
✅EOB and check search via websites and batches
✅Payment Posting of Insurance and Patients.
✅AR Follow up on denied claims via call or websites
✅Appeal project
✅Collection / Refund / Overpayment
I have worked for below mentioned specialties of provider’s claim:
1. Orthopedic
2. Chiropractic
3. Dermatology
4. E&M
5. DME
6. Family Practice
8. General surgery
9. Internal Medicine
10. Physical Therapy
11.Ambulatory Service