Team Lead Medical Billing/RCM/VA/CSR

Overview

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

at $16.00/hour ($2,816.00/month)

Bachelors of Science in Office Administration

Last Active

January 17th, 2024 (92 days ago)

Member Since

September 30th, 2015

Profile Description

Upgrade to see actual info is a proficient, self-motivated Medical Billing Specialist with excellent skills and successful experience for almost 8 years. She was 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 Contract Info [contract, network participation, contract fee schedule] with payers/insurances to assure that providers receive payment 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 denials
10. Registration of provider tools such as Availity, Navinet, UHC-Link, Optum, etc.
11. Interpretation of patient EMR
Below is my additional expertise in Clinic Administrative duties:
1. obtaining eRX and medication ePA
2. patient scheduling
3. patient care coordination

EHR and Clearinghouse Exposure:
- WRS Health EHR
- Trizetto Gateway EDI
- PHIcure
- Kareo EHR
-eCW
-Brightree
- AthenaHealth
-Quick Charts CQC
***Quick Base / Pulse for Admin Duties

Upgrade to see actual info has worked primarily in the field of Behavioral Health (Psychiatry, Mental Health, and Sleep Medicine, Substance Use) but was also able to handle other areas such as ENT, Family Medicine, Surgery, Home Health care, and DME. Besides professional billing, she could also take a practice that does Facility Billing [uses UB-04 form]. She possesses exceptional knowledge in CPT and diagnosis coding. Apart froUpgrade to see actual infodical claims, she also has experience in submitting EAP and Worker's Comp Claims. Upgrade to see actual info is proud to say that the sites/practices she has worked with had zero to minimal instances of denials that somebody can no longer be reversed.

Upgrade to see actual info has been known for the excellent quality of work. Once she starts working on a site, she tries to research the codes and way of billing and learn the needs of my practice to contribute more fully. One of her commendable skills is to help the site troubleshoot medical codes used in their practice and billing issues. In this way, she could help the site increase its revenue and avoid unnecessary rejections or denials.

Upgrade to see actual info has been known not just by her managers but also her workmates and teammates as someone who is always available to share the knowledge and experience in resolving an issue and who is always ready to assist. One of her great attributes is being trustworthy. She always makes sure that if she won't have enough workload in her sites, she always informs her Billing Managers so they can add more tasks that need to be attended. It is also her way of showing that she values her job and the experiences she can gain when faced with different tasks or issues.

Before Upgrade to see actual info ventured into medical billing and coding career, she was a Provider Service Representative for three years. She received inbound calls from the provider's office or a third-party billing company calling for eligibility and benefits, claim status, appeal and dispute status, authorization status, and credentialing status of the provider. She was also working in the field of online English teaching. She is also fluent in English and can work well with other people.
Aside from being familiar with MS Office tools and other applications and software, she can also type at least 40 words per minute with 99%  accuracy. She has excellent analytical and designing skills and can find ways to solve work-related problems even with minimal supervision.

Upgrade to see actual info has a solid commitment to excellence and is looking for a new facet in medical billing career. Hire Upgrade to see actual info, and she will give you quality results!