I have 5 years and 8 months of experience in the Healthcare Industry. I started as a AR Specialist in 2019, where the task involves checking insurance eligibility and benefits through portals or websites, documenting the relevant information on provided forms, and ensuring that services comply with state and federal regulatory requirements. In 2020 i was hired as a Medical Billing in Healthcare Coding Integrity Company and my roles are
- to verify the patient's insurance coverage and benefits through portal and call
- oversee the timely submission of electronic and paper claims,
- address and resolve unprocessed claims by following up to ensure appropriate resolution
- and manage daily denials and rejections, working on resubmission, appeals, or adjustments as necessary.
SKILLS/ AREA OF EXPERTISE
- Insurance Verification
- Data Entry
- Claims Processing
- Denial Management
- Payment Posting (EOB & ERA)
- Claims Follow-Up
- Time Management
- Adaptability
- Attention to detail
- HIPAA Trained
- Knowledge of CPT and ICD-9/10 codes
- Familiarity with the end-to-end process of Revenue Cycle Management
TOOLS
- Office Ally, Collaborate MD, Athena, Prompt, Tebra/Kareo, Simple Practice and eClinical.
- Insurance Portals (Availity, Noridian, Medi-Cal, BCBS, Kaiser, HealthNet, L.A Care, UHC (OPTUM), Cigna,
SCAN, and Medpoint Management)
- Google sheet, Gmail, Google drive, Dropbox
- MS office, MS Excel (knowledge about Xlookup, Vlookup and Privota)
- Skype, Zoom, Teams, Ring Central
Verified
