Experienced Revenue Cycle Management professional managing a team of HIPAA-trained medical billers in the Philippines. Providing comprehensive billing services to offshore clients, including A/R follow-up, claims submission, cash posting, and denial management.
Some responsibilities include:- Reviewing denials on an explanation of benefits (EOB) statement and working on issues until resolved. - Log onto an insurance website/portal (if available) to investigate insurance denials and rejections.- Analyzing Accounts Receivable reports to follow up on unpaid claims- Sending out appeals on claims that require an appeal- Submitting any required documentation to insurance companies as requested- Researching the claims for information to process bills in a timely manner- Communicating with insurance companies, adjustors, and patients on a regular basis - Correcting any errors and resubmitting all unprocessed or returned claims to insurance companies- Investigating insurance denials and rejections- Performing other related duties as assigned- Executing appropriate collection activities in accordance with practice guidelines
Experience:
- Medical billing experience is extensive- Knowledgeable in navigating a variety of EHR/EMR systems, including DrChrono, Office Ally, Prompt, Tebra, Athena, Availty, eClinalWorks and Simple Practice.
