Hi,
I have 9 years of experience in medical billing industry as biller, collection manager and now looking to utilize my solid knowledge and expertise in a highly stimulating environment.
I am familiar with HIPPA, Medicare, Medicaid, HMOs, PPOs, and commercial insurance billing policies and guidelines. I have good knowledge of checking eligibilities & benefits with insurance to verify patient benefits while posting billing charges. I am also familiar with Medicare LCD, NCD policies & guidelines ^ have good knowledge of using DX codes as per LCD, NCD.
• Complete grip on Contracting, Credentialing & Fee scheduling, EDI Enrollments and ERA/EFT setups.
• Handling generating and sending client invoices and statements, tracking and resolving outstanding payment issues, collection calls etc.
• Well versed with ICD 9-10 /CPT coding terminology
• Good experience for billing and coding.
• Good in handing provider credentialing issues.
• Thorough understanding of multiple billing software’s.
• Vast experience to get disputed denials paid through appeals and by reprocessing on call.
• Demonstrated ability to process insurance claims
• in depth knowledge of medical records, ethics & HIPPA
• Appealing on disputed denials to get paid.
• Recovery on adjusted claims and try to get recovery on claims which are old more than 1 year.
I have 4 years experience Chiropractic Office & Acupuncture of End to End RCM services.
Thank you