I have experienced in Medical Billing for Two years and six months. I worked closely with a Healthcare Providers that specialize for Behavioral Health and Substance Abuse. My mainly responsibilities is Account Receivable Follow up. Which i work with the EMR Billing System (Sunwave) to check and monitor claim status with different Insurance. And put a Documented Detailed notes on the Billing system so that the teams would know the status of a claim. I followed up on Claims using also multiple payer portals like Availity, Epaces, UHC, Metroplus, Carelon and Fidelis. I am also experience using other payer portal like Blue E., And Humana. My other task also is to Check and Verify Authorization, Dispute claims, and followed up on appeals when claim needed for payment reconsideration. I am more on portal base rather than calling Insurance Representatives. However, I already have a strong understanding of the AR follow up process, and how to handle denials claims with insurance representatives, I can transition into AR Follow up, calling insurance representative to handle denials and documents call outcomes accurately. In addition, I also assist my teams doing payment posting. they will hand me a copy of remittance advice from the insurance companies to post payment details into the Billing System accurately to avoid payment discrepancies.
Skills:
* Accounts Receivable Follow-Up
* Medical Claims Management
* Patient Data Entry and Management
* Insurance Verification
* Billing, Payment Posting
* Charge Entry
* Denial Management and Appeals
* Compliance and Regulation-HIPPA Certified
* Proficient in EMR, Billing Software Prompt, Medical Portal
