Subject Matter Expert |Medical Billing and Denial Management

Overview

Looking for full-time work (8 hours/day)

at $6.00/hour ($1,056.00/month)

College Level

Last Active

April 10th, 2024 (10 days ago)

Member Since

May 25th, 2020

Profile Description

I have extensive experience in customer service and a diverse skill set encompassing various aspects of medical billing and denial management, including payment posting, insurance verification, benefits review, call triage, scheduling coordination, document fax intake, and prior authorization. My expertise in these areas includes:
Customer Service: I have a proven track record of delivering exceptional customer service while working in healthcare settings. I have effectively communicated with patients, healthcare providers, and insurance companies, addressing inquiries, resolving issues, and ensuring a positive patient Upgrade to see actual infodical Billing and Denial Management: I possess in-depth knowledge of medical coding and billing procedures. I have successfully processed claims, adhering to insurance guidelines and regulations, and have experience investigating and resolving claim denials to maximize revenue and minimize financial losses.
Payment Posting: I have accurately posted payments, reconciled discrepancies, and managed accounts receivable. This includes ensuring prompt reimbursement, reducing payment errors, and following up on outstanding Upgrade to see actual infosurance Verification and Benefits Review: I have conducted comprehensive insurance verifications to determine patient eligibility, coverage, and pre-authorization requirements. Additionally, I have reviewed and analyzed benefits to ensure accurate billing and maximize Upgrade to see actual infoll Triage: I have managed a high volume of incoming calls and effectively triaged patient calls to the appropriate healthcare professionals. This includes assessing urgency, providing accurate information, and ensuring prompt and appropriate care.
Scheduling Coordinator: I have coordinated patient appointments, managing appointment schedules, and optimizing patient flow. I have worked closely with healthcare providers, patients, and insurance companies to ensure seamless scheduling and efficient utilization of resources.
Document Fax Intake: I have managed the intake and processing of documents through fax and electronic systems. This includes retrieving essential patient information, maintaining accurate records, and ensuring timely data entry.
Prior Authorization: I have experience in obtaining prior authorizations for medical procedures, working closely with healthcare providers and insurance companies to facilitate timely patient care. I have developed expertise in navigating authorization requirements and streamlining the approval process.
Overall, my experience in customer service, medical billing, denial management, payment posting, insurance verification, benefits review, call triage, scheduling coordination, document fax intake, and prior authorization equips me with a comprehensive understanding of the healthcare revenue cycle and the ability to deliver efficient and accurate administrative support.
I have a proven ability to streamline medical billing processes, optimize revenue cycles, and deliver exceptional patient experiences, I am eager to contribute my skills and expertise to a progressive healthcare organization. Connect with me to explore potential opportunities or feel free to reach out