Visionary, Entrepreneurial, Confident, Goal-Oriented

Overview

Looking for part-time work (6 hours/day)

at $6.61/hour ($960.00/month)

Associates degree

Last Active

August 8th, 2024 (668 days ago)

Member Since

March 18th, 2013

Profile Description

I am a skilled and dedicated medical biller with a passion for healthcare administration and revenue cycle management. With 10 years of experience in the field, I have developed a comprehensive understanding of medical billing procedures and coding guidelines. My goal is to efficiently process and submit claims, ensuring accurate reimbursement for medical services while adhering to regulatory requirements.
Skills and Expertise:
Medical Coding: Proficient in assigning accurate ICD-10, CPT, and HCPCS codes to diagnoses, procedures, and services, ensuring proper documentation and billing compliance.
Claims Processing: Experienced in preparing and submitting claims electronically or through paper-based systems, verifying patient information, and ensuring timely filing to maximize reimbursement.
Insurance Knowledge: Familiar with various insurance plans, including Medicare, Medicaid, private insurance, and managed care organizations, adept at navigating their policies and requirements.
Billing Software: Proficient in using industry-standard billing software, to enter and track patient data, generate invoices, and streamline billing processes.
Compliance and Regulations: Up-to-date knowledge of medical billing regulations, including HIPAA privacy and security rules, as well as familiarity with Medicare and Medicaid billing guidelines.
Payment Posting and Reconciliation: Skilled in accurately posting payments, reconciling accounts, and resolving discrepancies to maintain clean financial records and ensure accurate revenue recognition.
Denial Management: Experienced in analyzing claim denials, identifying root causes, and implementing effective strategies to minimize denials and optimize claim reimbursement.
Communication and Customer Service: Strong interpersonal and communication skills, enabling effective collaboration with physicians, insurance companies, and patients to resolve billing inquiries, address concerns, and provide exceptional customer service.
Qualities:
Detail-oriented: Meticulous in reviewing and validating billing information, ensuring accuracy and minimizing errors in claims submission.
Organized: Proficient at managing multiple tasks simultaneously, prioritizing workload, and meeting tight deadlines.
Analytical: Ability to analyze complex medical records, insurance policies, and billing data to identify discrepancies and resolve billing issues efficiently.
Problem Solver: Resourceful in finding solutions to billing challenges, whether related to coding, claims processing, or insurance reimbursement.
Team Player: Collaborative and adaptable, thriving in fast-paced environments while actively contributing to team goals and maintaining a positive work atmosphere.
With my strong foundation in medical billing, dedication to accuracy, and commitment to compliance, I am confident in my ability to support your organization's revenue cycle management needs and contribute to its overall success.