Have 5+ years of proven experience in the US healthcare industry with HIPAA Certification. Highly skilled in Revenue Cycle Management (RCM), Customer Service, Medical Records Audit, and Quality Assurance. I’ve been recognized as a critical thinker, problem-solver, and able to think outside the box. In my previous
role as a Medical Biller, I have the following responsibilities:
*Gather and review patient demographic information, insurance details, and medical documentation to ensure accuracy for billing purposes.
*Assign appropriate ICD10 and CPT codes to accurately represent the services given by the provider.
*Prepare and submit insurance claims electronically or through paper submission, ensuring all necessaryinformation is included and adhering to specific payer requirements.
*Monitor the status of submitted claims, track reimbursement delays, and follow up with insurance companies to resolve any outstanding issues or denials.
*Conduct denial management on denied claims.
*Initiate and manage collection efforts for unpaid or overdue balances, which may include contacting patients or insurance companies and sending statements.
*Record and reconcile payments received from insurance and patients.
*Continuously update knowledge of medical billing regulations, coding guidelines, and industry trends to adapt to changes and optimize billing practices.
Experience: 5 - 10 years
Experience: 5 - 10 years
Experience: 2 - 5 years
Experience: 2 - 5 years
Experience: 2 - 5 years
“I had this VA that I could turn things over to made it a lot easier”
Kyle Mckenna
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