Pherjeval

Medical Billing and Coding Professional, Credentialing & VA

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Overview

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

at $8.00/hour ($1,408.00/month)

Bachelors degree

Last Active

May 2nd, 2024 (4 days ago)

Member Since

September 23rd, 2020

Profile Description

My name is Upgrade to see actual info Upgrade to see actual info. I am a Certified Professional Coder and a HIPAA certified. I have 8 years experienced in working US-based Healthcare insurance and Medical Billing. I am familiar in coding with the correct CPT, ICD-10, modifier, place of service, etc. I have experienced in Mental health, DME, Physical Therapy, Chiro, Dental, Medical Laboratories, COVID, etc.
I have been exposed to most of the areas in Patient and Insurance Billing such as :
1. Patient account management which includes patient registration and appointment scheduling
2. Verification of patient eligibility and benefits and identification of correct payers
3. Claims Creation from EMR or Superbills
4. Resolving Clearinghouse rejections and some EDI errors
5. Verification of Provider's Contract Info [contract, network participation, contract fee schedule] with payers/insurances to assure that providers are being paid correctly
6. Payment Posting from insurances and patient and dealing with Zero-Paid EOB's
7. Setting up ERA and assisting in provider's EFT setup
8. AR follow up which includes insurance phone calls
9. Resolving claim issues and and denials
10. Registration of provider tools such as Availity, Navinet, UHC-Link, Optum, etc.
11. Interpretation of patient EMR
12. Received phone calls from the Patient/Provider
13. Scheduling an Appointment.
14. I have a strong background as a CPC billing the correct ICD, CPT, Modifiers depending on the service.
I am expert on resolving clearinghouse rejections, denials from insurance, checking EOB's, posting payments, following up on claims status and appeal disputes.
I am looking for a full-time job where I can manifest my skills and experience.

Top Skills

Real Estate » Appointment Setting

Office and Administration » Data Entry

Office and Administration » Email Management

Other Skills

Office and Administration » Microsoft Excel

Basic Information

Age
26
Gender
Male
Website
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Address
Valencia, Negros Oriental
Tests Taken
IQ
Score:  94
DISC
Dominance: 90
Influence: 90
Steadiness: 90
Compliance: 95
English
C2(Advanced/Mastery)
Uploaded ID
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