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I am a detail-oriented Medical Biller and Coder with over two years of experience in medical office administration. I specialize in managing the accounts receivable process, accurately coding procedures (ICD, CPT, HCPCS), and ensuring timely claim submissions while maintaining compliance with regulations.I have a proven track record of optimizing office operations and enhancing patient care.
I am well-versed in the end-to-end Revenue Cycle Management (RCM) process, from patient scheduling and insurance verification to claims submission and payment posting.
Experience: 2 - 5 years
I handle claims, including various denials and rejections, review remittances and EOBs, post payments, and work on authorizations and insurance verification. Some responsibilities include: ***Reviewing denials on an explanation of benefits (EOB) statement and addressing issues until they are resolved. ***Logging onto an insurance website or portal (if available) to investigate denials and rejections. ***Analyzing Accounts Receivable reports to follow up on unpaid claims. Sending appeals for claims that require them. ***Submitting any necessary documentation to insurance companies as requested. ***Researching claims to gather information needed for timely bill processing. ***Maintaining regular communication with insurance companies, adjusters, and patients. Correcting errors and resubmitting any unprocessed or returned claims to insurance companies. ***Investigating insurance denials and rejections. Carrying out appropriate collection activities in line with practice guidelines.
Experience: 2 - 5 years
Experience: 2 - 5 years
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