Danilo A. Manialong Jr.

Danilo A. Manialong Jr.

$10/hr
Medical Biller Specialist
Reply rate:
-
Availability:
Hourly ($/hour)
Location:
Aliaga, Nueva Ecija, Philippines
Experience:
11 years
About

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...)

  • Patient Calling

With work experience on the following PMS and EMR Software

  • Akamai

  • Next Gen

  • Kareo

  • AdvanceMD

*Med Gen

*WoundExpert

Clearing House:

*ChangeHealthCare

*Emdeon

Languages
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