I am a medical billing representative with 4 years of experience in five different specialties. Strength in streamlining process, increasing efficiency and optimizing workflow. Highly experienced in posting deposit / payments and reconciling account with the accuracy.
• Experience billing for Psychiatry, Gynecology, Podiatry and DME billing.
• Ensure claims are entered and submitted within 24 hours of receipt.
• Set up a new patient accounts.
• Post insurance and patient payments, resolve incorrect payments, EOB rejections, and other issues with outstanding accounts.
• Insure accuracy of insurance claims; verify correct ICD-10 and CPT codes for a variety of specialties.
• Electronic claim submission to clearinghouse, worked with clearinghouse to resolve the file compatibility issues.
• Retrieve Electronic Remittance Advice (ERA).
• Submit secondary claims upon processing of primary insurance.
• Processing of patient statements. Answer and resolve patient billing inquiries.
• Follow up on insurances on outstanding accounts, resubmit claim as needed.
• Prepare appeal letters to insurance carriers when not in agreement with claim denials. Collect necessary information to accompany appeal.
• Provide monthly reports that reveal the number of claims billed, the codes billed, and the amount paid on the claims with the breakdown of providers.
• Check production regularly for accuracy.
I can communicate well, I'm able to do Multitasking and I can do my best to be a good asset in the company I'm working with. I am Attentive, Competitive, Patient, Calm, Confident and Hardworking, I have Positive Attitude and I can work well under pressure. I have a moderate knowledge in this Industry and I want to learn more and explore more about this industry.
I can work full time and can work Anytime of the Day.
“I have a team of 6 VA's that pretty much do everything for me”
Elishama Jiles
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