I am an experienced Medical Biller with a proven track record in submitting claims to various insurance entities, adeptly managing denied claims, specializing in Accounts Receivable (A/R) tasks, and demonstrating expertise in payment posting.
My proficiency extends to navigating medical billing codes, ensuring the precise and efficient processing of healthcare claims. Over the years, I have engaged with small and large group practices, as well as individual providers, undertaking comprehensive billing responsibilities. These include eligibility verification, prior authorizations, patient data entry, and the creation of claims for office and diagnostic services.
I am well-versed in posting payments (ERA/EOBs), electronic claims submission, handling EDI rejections, conducting insurance calls, and diligently following up on denied claims. Additionally, I have actively contributed to accounts receivable management.
My job responsibilities encompass a wide range of tasks, such as patient registration, eligibility and benefits verification, clean claims submission, obtaining authorizations, payment application from various sources, aging report management, appeals, customer service, administrative assistance, denial and rejection management, patient billing concerns resolution, bookkeeping, QuickBooks usage, and invoicing for various offices and clients. I also provide patient assistance through both inbound and outbound channels.
Key Skills and Competencies:
1. HIPAA Compliance
2. Familiarity with ICD-10 codes, CPT codes, and HCPCS codes
3. Familiarity with Medicare and Medicaid Guidelines through CMS
4. Knowledge of Payer Reimbursement Characteristics and Billing Policies
5. Documentation review
6. Daily, weekly, monthly, or quarterly reconciliation
7. Adaptable performance in complex environments with minimal direction.
I am well-versed in various software applications:
• NextGen & Health Fusion
• And all other insurance portals for eligibility verification, claim status and contracting,I