As HIPAA certified Medical Virtual Assistant, I specialized in Medical Billing from Charge Entry, Insurance Verification, submitting of claims, Denial Management, to Payment Posting. As An experienced Claims Adjudicator who works for 2 years and 9 months under one of the biggest health insurance companies in the US. I specialized in medical Claims Processing, Denial Management, Accounts Payable, Accounts Receivable, and Medical Billing concerns.
Experience: 2 - 5 years
Experience: 6 months - 1 year
- Provides billing support - Submit claims to different payers - resolve denied claims - Call payers if there is a discrepancy between the allowed amount and the actual amount received.
Experience: 2 - 5 years
Experience: 2 - 5 years
Claims adjustor for 2 years and 9 months. I process claims whether covering or denying them. Before processing each claim, I would check into patient's contract, check the states mandate regarding the certain illness and its benefits. If the claim needs to be reviewed thoroughly, I call providers to fax the medical records to us so we can investigate on how to claim should be processed.
Experience: Less than 6 months
Experience: 2 - 5 years
Experience: Less than 6 months
Experience: 2 - 5 years
Claims adjustor and Customer Service Representative for 2 years and 9 months. Process claims and adjusting incorrectly processed claims — pay interest if needed. Does outbound calls and answer incoming inquiries from provider, members, or other party regarding how the claims was processed.
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