A professional HIPPAA Certified Medical Biller with over 5 years of in-depth experience in the health care industry. I am a high level biller that is able to manage accounts and provide support to my clients. I also have a background in Customer service and worked at the same time as a technical-support representative. Open for an interview if needed!
Medical Billing Services:
• Check Eligibility and verification of patient’s health benefits from insurance carrier’s website or through phone call verification.
• Patient scheduling
• Full patient demographics and charge entry. Processing of Recurring payments for different mode of payments including virtual payments etc.
• Insurance claims submission (primary, secondary or tertiary)
• Payment Posting for EFT/ERA, cheque, or other forms of payment including Recoupment from insurance companies
• Accounts receivable analysis with corrective and preventive actions and decision making for Collections
• Strong claims follow up on denials from insurances like Workers Comp, Medicare, Medicaid, BCBS Semi Government, Managed care and Commercial Insurances (Aetna, BCBS, Cigna, UHC, Oxford etc...)
• Patient billing inquiries as per received information from provider office, front desk, treatment coordinators, MA's, and from the doctor
• To check claim status from insurance, websites, auto response unit and via live calls.
• To make on call appeals for reprocessing of incorrectly processed claims based on billing knowledge
• ICD9, ICD10, CPT and HCPCS Coding and/or review
• Daily, Monthly and annual AR Financial reports preparation
• Custom reports if required
• Patient billing as per instructions
• Consulting/Training
• Super bill review
• Appeals
EHR's/ Softwares:
eCW, Nextgen, Advanced MD, Office Ally, Kareo (tebra), Athena, Zhealth, Dr. Chrono, CGM (Aprima), Intergy, RXNT, CMD, Simple Practice, Therapy appointment, Optimantra)