Medical Assistant - Head of Billing Department

I have trained new team members on the process of medical insurance verification, including how to accurately confirm patient eligibility, check active coverage, deductibles, copays, coinsurance, and out-of-pocket maximums using payer portals and direct insurance calls. I also guided them in understanding and applying the correct CPT (Current Procedural Terminology) codes specific to mental health services, ensuring claims are submitted accurately and in compliance with payer guidelines. This training helped ensure efficient workflows, reduced claim denials, and supported smooth front-end billing operations.

Verifying different Insurances in US

My role includes verifying insurance coverage, assigning precise medical codes (ICD-10, CPT), and maintaining compliance with healthcare regulations. I've effectively managed billing software, resolved claim discrepancies, and collaborated with healthcare providers to optimize revenue cycle management. This experience has bolstered my attention to detail, organizational skills, and overall expertise in the medical billing process.

I am familiar with the use of ICD-10 (International Classification of Diseases, 10th Revision) coding for documenting and billing mental health diagnoses. I’ve worked with providers to ensure that diagnosis codes are accurately assigned and align with the services rendered, such as anxiety disorders (F41.1), major depressive disorder (F33.1), or ADHD (F90.0). Proper use of ICD-10 codes helps ensure timely reimbursement, reduce claim denials, and maintain compliance with insurance and healthcare regulations.