Current Employment Status:
Hired Full Time on Oct 24, 2023

Carmencita

Medical Biller

60 ID PROOF
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Overview

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

at $4.60/hour ($809.60/month)

High school diploma

Last Active

May 17th, 2024 (10 days ago)

Member Since

June 28th, 2023

Profile Description

• Verified patient’s eligibility to various payer’s portals.
• Work on denial and rejected claims to completion in a timely manner.
• Conduct audits and coding reviews to make sure data entered into the system is correct and accurate.
• Submit claims and corrected claims to various payer portals/fax or electronically.
• Check the payment posting if correct per the EOB. Create batches daily for payment reconciliation.
• Manage correspondence from the payers and process the claim accordingly.
• do outbound calls to clarify denial and rejection reasons.
• Reviewing correspondence letter from the payer
• Knowledge of Nextgen, EHR for medical records, and document management

Top Skills

Customer Support » Insurance » Medical Insurance

Experience: 5 - 10 years

denial and rejection management, claim processing, appeals, prior authorization, outbound calls to payers, payment reconciliation, Eligibility and Verification, Experience with Medical Portals, RCM providers enrollment

Other Skills

Basic Information

Age
44
Gender
Female
Website
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Address
Tests Taken
IQ
Score:  123
DISC
Dominance: 37%
Influence: 18%
Steadiness: 37%
Compliance: 9%
English
C1(Advanced)
Uploaded ID
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