Sivakumar Munisamy

For billing Visiting records entering patient demographic information into respective billing software, and creating a claim for patients individual insurances, including visiting date diagnosis code with the billed amount. 

Claims will submit directly to the payers or the clearinghouse. If the clearinghouse rejects any claims, it needs to be fixed the error and resend the claim to the clearinghouse or payer,

1. Manual EOB Posting:- Once the doctor's front office team received a hard copy of checks and EOBs, they will deposit the same to the bank. The date when they deposit is called the deposit date, and the check released by insurance is the check date. 

2. EFT Posting:- All EFTs will be posted through the auto-post, which is already uploaded to import remittances in the billing software. 

3. Reimbursement Sheet:-I have experience in emergency CPT posting 99281, 99282, 99283, 99284, 99285, 99291, 99292, extra, and Payments to be posted as per the reimbursement sheet there. We can find insurance status like Participating or Non-Participating. And also, before posting payments considering the case rate for CPT wise.

 4. Bank Statement:- Processing respective client’s bank statements daily whatever appears in the bank statement same will process in billing application. Posting payments in billing software as per bank statement and end of the day all the open payment batches should be closed and update the application and reconciliation log as per bank statement date wise.

When posting payments in billing software, consider these things match with patient name, billed amount, SSN, or Claim number if patient responsibility available in EOB Copay, Coinsurance or Deductible amount need to post payments as per EOB.  

Call the insurance companies to get unpaid claims status and resubmit those to get billed in time. 

I am verifying insurance eligibilities and patients eligibilities. 

I can deliver the best output with efficiency and on time for the given task.