Kaymieth Nuer Barrios

Good day! My name is Kaymieth. I am a Healthcare Specialist and a Medical Billing Coordinator for the past 6 years through a BPO company. Providing excellent service for both providers and member is one of my passions. I am currently looking for an opportunity to share my skills as a freelancer and I am confident that I would be a good addition to your team. 

Check out the skill-set and experiences I gained: 

Healthcare Specialist

• Assisting both members and providers if they want to check benefit and eligibility information, Authorization, and claims status.
• Assisting members if they want to change or update their demographics, updating PCP and IPA assignments, searching for contracted providers, and helping them set up an appointment. 
• Assisting providers to check contracts, updating demographics, and credentialing. 

Subject Matter Expert (SME)

• Assisting agents with escalated calls 
• Navigating knowledge Base
• Helping to utilize necessary tools to provide first-call resolution to our caller's concern.

**Compliance Specialist **

• Scrubbing reports and requests created by the agents
• Checking service forms and service objects created by the agent when they reprocessed a claim, doing a change of assigned doctor and medical group, and other requests sent to our back office. 

Medical Billing Coordinator

• Charge entry for new day claim
• Handle claims denial, claims rejection, and appeals
• Submit corrected claims, appeals, and any additional information requested by the insurance. 
• Handle account receivables, write off, and missing money
• Outbound calls to follow up on claims status
• Payment posting

Administrative tasks

• Data Entry, Web Research
• Inbound and Outbound Call
• Collate Daily Report