In my previous role as a medical biller for a mental health & behavioral/pain management practice, I used Tebra/Simple Practice/DrChrono EMRs extensively to manage patient records, cash posting, submit claims, and work on denials. I was responsible for ensuring that all CPT and ICD-10 codes were accurately entered, claim statuses were tracked, and any denials were addressed promptly to minimize revenue loss.
My task primarily is to ensure that claims are submitted on time and that claim errors are addressed to avoid rejections and denials. I am responsible for timely follow-up and reimbursement of claims from various insurance companies such as Medicare, Medicaid, Aetna, Cigna, Blue Cross Blue Shield, and other commercial payers.
I manage and resolve denials and outstanding A/R and call insurances when necessary to determine the reason for the denials and provide solutions. I review remits or EOBs and perform posting charges.
I worked with different payers, so I am familiar with different portals such as Availity, Navinet, Noridian, and others.