My recent company was with Healthcare Coding Integrity where i primarily assisted healthcare providers with revenue cycle challenges under this practice - Physical Therapy and Dermatology.My task primarily is to ensure that claims are submitted on time and that chronic errors were addressed to avoid claim denials. I am responsible for timely follow-up and collection of medical claims, and the reimbursement of claims from various insurance companies such as Medicare, Medicaid, Aetna, and other commercial payers.I manage and resolve denials and outstanding A/R and call insurances when necessary to determine the reason for the denial and provide solution.I also report and identify trends with the AR to leadership. I create and maintain the patient account ledger and post the payment once EOBs and payments are received.Hence, I work mostly on claims submission and charge entries, claim rejections and denials, research and follow up on unpaid claims to insurance companies, review remits and EOBs, and I perform posting charges. That's what I'm really good at.I am knowledgeable in different EMRs such as Office Ally, Dr. Chrono, Kareo, AthenaOne and Prompt.I worked with different payers so I am familiar with different payer portals such as Availity, United Healthcare, Navinet, Medicare, and Medicaid.
Experience: Less than 6 months
Experience: 2 - 5 years
Experience: 2 - 5 years
Experience: 2 - 5 years
Experience: Less than 6 months
Experience: 2 - 5 years
Experience: Less than 6 months
“For years, I maxed out my hours, got burnt out, and the quality of my work would start to go down. I decided to take the leap, hire correctly, and now it frees up my time to focus on growing the business.”
Tyler Gies
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