As a skilled medical billing individual with extensive experience. Proud my-self on contributing to the provision of quality healthcare by working to obtain payments and reimbursements in a timely manner.
Having a strategic and a broader understanding of the areas outside of
billing and collections is important. Getting the bill out and collecting it are critical, but so
are having the analytics in place to ensure you are collecting what you're supposed to
collect, making sure contracts are paid at the level they're supposed to be paid, and
ensuring that coding is accurate so it won't be denied later.
In addition to being highly organized, work well with others. Duties have included communicating with insurance company representatives about potentially problematic claims and working out solutions with providers, insurers, and patients. Also worked with patients to create payment plans for the portions of their bills that are not covered by insurance.
Medical Insurance
Specialty in Eligibility and Benefits Verification
Claim Entry & Payment Posting
Records Organization& Management
Insurance & Patient Aging
HIPAA Compliance
Online Claim Submission
Experience: 2 - 5 years
Review remits and payers correspondence and escalate any identified issues to appropriate areas for review and response to expedite claim resolution
Experience: 2 - 5 years
Insurance verification, authorization and appeals
Experience: 2 - 5 years
Perform posting charges Ensure patient's medical information is accurate and up-to-date Perform completion of claims to payers
Experience: 2 - 5 years
Process claims and resolve denials to ensure maximum reimbursement Submit billing data to appropriate insurance provider
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