I am a highly motivated and detail-oriented . Ive benn handling healthcare account for more than 6 years. My expertise lies in accurately processing medical claims, ensuring timely reimbursements for healthcare providers. I am proficient in utilizing various billing software and electronic health records (EHR) systems such as EPIC, ECW, ACE , SALESFORCE, INOVALON , ensuring compliance with all applicable regulations and guidelines.
My responsibilities include: - Billing: (END TO END PROCESS) Accurately entering patient and insurance information, generating invoices, and submitting claims to various insurance carriers. I am adept at navigating complex billing codes and procedures, ensuring all claims are submitted with complete and accurate information.
- Insurance Verification: I diligently verify patient insurance coverage, eligibility, and benefits prior to service delivery. This includes confirming plan details, deductibles, co-pays, and pre-authorization requirements.
- Authorization: I proactively obtain pre-authorization for procedures and services, ensuring timely approval and minimizing claim denials. I am skilled in communicating effectively with insurance companies and providers to resolve any authorization issues. I am committed to providing exceptional customer service and maintaining a high level of accuracy in all my work. My strong organizational skills and attention to detail ensure efficient claim processing and timely reimbursements. I am a team player and thrive in fast-paced environments. I am eager to contribute my skills and experience to a reputable healthcare organization and make a positive impact on patient care and revenue cycle management.