My recent company was with Healthcare Coding Integrity, where i primarily assisted healthcare providers with revenue cycle challenges under this practice - Physical Therapy and Dermatology. I was a Medical Assistant, AR Specialist and Revenue Cycle Management Specialist for 3 years and 9 months.
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 AR to leadership. I create and maintain the patient account ledger and post the payment once EOBs and payments are received.
Hence, I work mostly on claims 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 Office Ally, Dr. Chrono, Kareo, Athena One, Advanced AMD and Prompt.
I worked with different payers, so I am familiar with different payer portals such as Availity, United Healthcare, NaviNet, Medicare, and Medicaid, Empire BCBS Healthplus and Metroplus.
