MEDICAL BILLING SPECIALIST
Experienced and detail-oriented Medical Biller based in US, with hands-on experience in healthcare revenue cycle management, including accounts receivable (A/R), insurance claims processing, patient billing, and collections. I specialize in optimizing billing workflows and ensuring accurate and timely reimbursement from both government and private payers.
I bring a deep understanding of US Medicaid, Medicare, commercial insurance policies, and compliance standards. Adept in working with EHR/EMR systems such as Tebra, Athena and Simple Practice, with strong skills in CPT, ICD-10, and HCPCS coding.
Passionate about accuracy, efficiency, and clear communication, I strive to reduce denials, minimize aging A/R, and support the financial health of medical practices.
KEY SKILLS:
Certified in HIPAA Compliance & Privacy
Medical Billing & Coding (CPT, ICD-10, HCPCS)
Accounts Receivable Management
Insurance Claims Submission & Follow-Up
Denial Management and Appeals
Patient Billing & Customer Service, Payment posting & Reconciliation
EHR/EMR & Billing Software (Tebra, Athena, Simple Practice)
Knowledge of US Medicaid, Medicare, and Commercial Payers
Experience: 1 - 2 years
• Submitting clean claims to insurance providers in a timely manner. • Reviewing patient demographics and procedure codes (ICD-10, CPT) for accuracy before submission. • Verifying insurance coverage and obtaining prior authorizations. • Using electronic health record (EHR) software to transmit claims. • Investigating, correcting, and resubmitting denied or rejected claims to insurance companies. • Appealing denied claims by providing documentation to support medical necessity. • Reviewing aging reports to identify and work on unpaid or rejected claims. • Communicating with patients about balances, insurance inquiries, and payment options. • Communicating with insurance representatives to resolve discrepancies.
Experience: 1 - 2 years
Experience: 1 - 2 years
Experience: 2 - 5 years
Experience: 2 - 5 years
Experience: 1 - 2 years
Experience: 2 - 5 years
Experience: 6 months - 1 year
Experience: 1 - 2 years
High quality designs
Experience: 2 - 5 years
Experience: 2 - 5 years
Onlinejobs.ph "ID Proof" indicates if "they are who they say they are".
It DOES NOT indicate skill level.
ID Proof scores are 0 - 99 with 99 being the best. It is calculated based on dozens of data points.
It's intended to help employers know who they're talking to is real, and not a fake identity.