As I am part of the Medical Billing business for the last 12 Years and have detailed knowledge of the industry. I believe that my skills and experience working in the same field qualifies me for the service.
If I would manage a complete account, here would be key points of my approach.
1. Before posting/ submission I can have the eligibility check if required.
2. To determine the benefits are covered and payable.
3. Check the CCI edits and to suggest/ apply appropriate modifiers (After reviewing the medical notes if available) to overcome the denials for speedy reimbursements.
4. After submission keeping an eye on the rejections and to resolve them very quickly for processing.
5. Prioritize the high number of claims and dollars in AR in 60+ buckets.
6. Determining the reasons for increasing AR in case, and taking precautionary measures to stop them in going further buckets.
7. Fixing the claims and to provide robust solutions for denials.
9. Appealing for the claims if necessary.
8. To create a prompt report if the data is available in the excel sheet for easy understanding of the work been done.
Should you have any questions?