My recent company was with Healthcare Coding Integrity where I primarily assisted healthcare providers with revenue cycle challenges under this practice-Physical therapy, Home health,Pain Management, and Mental and Behavioral
Health.My task primarily is to ensure that claims are submitted on time and that chronic errors were addressed to avoid claim denials. I am responsible for timely follow- up and collection of medical claims, and the reimbursement of claims from various insurance companies such as Medicare, Medicaid, Aetna, and other commercial payers.I manage and resolve denials and outstanding A/R and call insurances when necessary to determine the reason for the denial and provide solution.I also report and identify trends with the A/R to leadership.I create and maintain the patient account ledger and post the payment once the EOBs and payment are received. Hence, I work mostly on claim submission and charge entries, claim rejections and denials, research and follow-up on unpaid claims to insurance companies, review remits and EOBs, and I perform posting charges. That's what I'm really good at.I am knowledgeable in different EMRs such as Tebra/Kareo ,Prompt and Dr. Chrono.I also worked with different payers so I am familiar with different payer portals such as Availity, United Healthcare, Navinet, Medicare and Medicaid,.
