Francis Pitchaimuth

 Francis Pitchaimuth.CPC -) Bangalore, India 560068 - (- eMail -- Detail oriented quality focused professional billing specialist. Successful track record handling complicated assignments. Highly experienced in reconciling insurance and patient payments and resolving account disputes. Proficient in a variety of practice management software applications. Dedicated to maintaining strict patient confidentiality. • • • • • KEY SKILLS ICD-10, CPT, & Medical Terminology• Records Organization Management CMS 1500, RCM/EMR• Online Claim Submission & ERA Excellent Interpersonal Skills• Insurance & Patient Aging Various Practice Management Software• Aging Reports Claim Entry & Payment Posting• HIPAA Compliance PROFESSIONAL EXPERIENCE Medical Billing Specialist – Independent Contractor, Bangalore, India - 10/2010 to Present. Responsibilities & Results: Experienced billing for Family Medicine, Podiatry, Pediatrics, and Mental Health specialties etc… Resolved billing issues identified by insurance carriers and patients Ensure claims are entered and submitted with 48 hours of receipt & Accurately apply payments to patient accounts Post and reconcile insurance and patient payments. Research and resolve incorrect payments, EOB rejections, and other issues with outstanding accounts Insure accuracy of insurance claims. Verify correct ICD-10 and CPT codes for a variety of specialties Set up new patient accounts Assign ICD-10 to physicians diagnosis and insure correct level of service and various other CPT codes Set-up practice management software for submission of electronic claims to clearinghouse. Work with clearinghouse to resolve file compatibility issues Retrieve Electronic Remittance Advice (ERA's) Send secondary claims upon processing of primary insurance. Monthly processing of Patient statements. Answer and resolve patient billing inquires Follow up on Insurance and patient aging. Re-submit insurance claims as necessary. Knowledgeable in timely filing restrictions TECHNOLOGY SUMMARY MS Office (Word, Excel), Office Ally, NueMD, Visionary Medical System, NueMD, 3M etc… EDUCATION & CERTIFICATION Completed the Bachelor Of Engineering Web Based Certificate of Completion “CMS Form 1500” Web Based Certificate of Completion “Medical Billing and Coding Training Program”