Hey there. This is Ulysses Bernales. I have atleast 10 years of working experience in a Healthcare company including the credit balancing, payment adjustments, appeals and denials review and the end-to-end cycle of a claim. I mastered the reviewing or reading of an explanation of benefits. Checking of the proper patient liability such as the deductible, coinsurance and the copay. I have experience in verifying the appropriate contract to use in billing a specific claim. I also do have experience regarding the verification of authorization for a procedure code to be eligible for a payment. Answering the appeals of the provider regarding the recoupment made by insurance is also one of my expertise. Creating a formal letter to explain the facility regarding what happened to the claim is also one of my roles from my previous job. I am also familiar with the CPT codes and diagnosis codes including the modifiers and revenue codes. Claims related to Coordination of benefits, Medicare, Medicaid, Worker's Compensation and Auto insurance are also billed to my experience. I am open to any system needed for me to perform my job accurately. Hope I am a great fit to your job opening and I am willing to undergo training to learn more regarding your own process. Thank you and hope to work with you soon.
