Medical Billing Skills
1. Managed Professional/Hospital billing for providers which includes Charges, Demographics, Charges, Payments, Clearing House Rejections, & Denials.
2. Manage Charges & Payment, Hospital / Outpatient Billing for internal medicine group, foot care, vision care, urgent care, neurology and psycho therapy care for Hawaii, Michigan, and New York providers.
I have worked on full RCM cycle in the last 9 years from the given below
*Demographics Entry
Insurance Eligibility and verification of patient’s health benefits from insurance carrier’s website and through Phone.
Create appointments on scheduler while receiving patient calls
*Patient Demographic Entry
Charge Entry
Claim Submission (Primary & Secondary Insurance)
Payment posting (insurance and Patient payments)
Rejection Reports
Basic coding
Authorization
Insurance Verification
Account Receivable / Follow ups
*Accounts receivable analysis with corrective and preventive actions and decision making for Collections.
*Strong claims follow up on denials from insurances like Medicare, Medicaid, BCBS Semi Government, Managed care and Commercial Insurances (Aetna, BCBS, Cigna, UHC, Oxford etc...)
With work experience on the following PMS and EMR Software
Akamai
Next Gen
Kareo
AdvanceMD
*Med Gen
*WoundExpert
Clearing House:
*ChangeHealthCare
*Emdeon