Greetings!
My name is ----------- -----------, passionate and dedicated professional specializing in medical billing. Over the course of my more than 7 years in the BPO industry, I have developed various skills such as customer service, account receivables, payment posting, and medical billing. I also have extensive knowledge in ICD-10 coding, CPT codes, modifiers, medical terminologies, insurance billing processes, guidelines, clearinghouse rejections, credentialing, prior authorization, insurance verification.
I have worked on all functions of medical billing and also did quality checks for the same. I have great experience working on the below-mentioned functions of medical billing.
• Patient Registration
• Insurance Verification
• Pre-Authorization Request and verification
• Charge Posting / Superbill review.
• Evaluation of valid HCPCS codes, ICD 9-10 and Modifier
• Fixing Rejected Electronic claims.
• Provider PIN calling (for verifying provider TAX id, NPI, and billing address)
• EOB and check search via websites and batches
• Payment Posting of Insurance and Patient
• AR Follow up on denied claims via call or websites.
• Claims Appeals
• Collection / Refund / Over-Payment
• Scheduling new patients
Project Specialization:
• Daily Audit of sample size.
• Publishing weekly/monthly dashboard, production, and accuracy report to clients.
• Working on new ideas to improve process accuracy and productivity.
• Doing calibration with QCA, Team, and Client to reduce process variances.
• Tracking or identifying root causes of insurance denials and low revenue.
• Conducting PKT (Process knowledge test) to bridge the knowledge gap.
• Suggesting corrective actions, implementing solutions, and reviewing implementation
• Providing feedback and refresher training to individuals and teams.
• Doing remotely and side by side audits of associates
• Analyzing trends in quality check and fixing the bulk issue right away.
I have worked for the below-mentioned specialties of the provider’s claim specialties:
• Physical Medicine and Rehabilitation
• Family Medicine / Doctor's clinic
• Behavioral Care Solution/Mental Health
• Weight loss
• Dental
• Genetic Testing Laboratory
• Internal Medicine
• DME
• Physical Therapy
• Skill Nursing Facility
I am well-versed in utilizing a comprehensive range of billing software, including:
• Athena One
• Office Ally
• Dr. Chrono
Major follows up Insurance:
• Medicare
• Medicaid
• BCBS
• Aetna
• UHC
• Cigna
• Tricare
• Humana
My commitment to excellence is evident in the suite of services I offer:
• Patient Demographic and Charge Entry
• Claims Submission and Fixing Rejections
• AR and Insurance Follow-up
• Denials Management
• Appeals Filing (if required)
• Payment Posting
• Revenue Analysis and Reporting
I take pride in delivering comprehensive Revenue Cycle Management (RCM) services ensuring a seamless and efficient workflow for your medical billing needs. Thank you for considering my expertise. I am willing to be trained and open to learning new things. I am a quick learner and self-motivated. Looking forward to working with you.
For more details and if you are interested to my service, you can send an email at ----------- or call me ----------- or Skype:----------------------
You can check my resume on this link as reference: -----------
