Detail-oriented Medical Billing Specialist experienced in claims submission, A/R follow-up, and denial management. Skilled in resolving denied claims, communicating with insurance representatives, and maintaining accurate billing documentation to ensure timely reimbursements. Committed to supporting the financial health of healthcare providers through accuracy and proactive claim management.
Experience: 2 - 5 years
Insurance Verification & Pre-Billing: Verified patient insurance, coverage, and referrals; ensured complete documentation to prevent claim rejections. Claims Submission & Documentation: Prepared and submitted accurate claims via payer portals; maintained billing notes for tracking and follow-up. Accounts Receivable (A/R) Follow-Up: Monitored unpaid claims, contacted insurance representatives for status and disputes, and documented collection activity. Rejected & Denied Claims Management: Reviewed and corrected rejected claims; analyzed denials, prepared appeals, and ensured resolution. Claims Status Management: Managed claims in all scenarios (not on file, in process, paid, applied to deductible, pending info) to maintain cash flow. Continuous Improvement & Compliance: Stayed updated on billing and coding trends; used A/R data to prevent rejections and optimize reimbursements.
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.