Dedicated Medical Biller with Proven Expertise in RCM | AR | Payment Posting | Denial Management | Insurance Verification for Commercial & Medicaid/Medicare Plans
With over 4 years of experience in the healthcare industry, I offer expert medical billing services and a deep understanding of medical terminology, insurance regulations, and coding procedures. My skill set includes:
• EMR & Practice Management Systems: Proficient with systems like CentralReach, STI, EPIC, Tebra, Kareo, eClinicalWorks, Practice Fusion, Simple Practice.
• Clearinghouses & Payor Portals: Experienced with Availity, Office Ally, Change Healthcare, and others
• Claims Processing: Efficient in cleaning, reviewing, and submitting claims
Tracking & Follow-Up: Monitor claim statuses, remittances, and proactively address unpaid claims
• Denial Management: Expertise in managing and resolving denials
• Patient Invoices: Skilled in managing patient co-insurance, co-pays, and other responsibilities
SKILLS
• Medical billing
• Claim scrubbing and follow-up
• Reading clearinghouse reports and re/submissions
• Contacting payors by phone and over the internet
• Knowledge of correct use of modifiers
• Prior experience with Claims in different States with portals: AVAILITY, CLOVER, MEDI-CAL CIGNA, UNITED HEALTHCARE, ECHO, NGSMEDICARE, PEARPROVIDER
• Ability to problem solve claims not just resubmit
• HIPAA compliance
• Customer service
• Time management
• Attention to detail
EXPERIENCE
• Managed all aspects of medical billing for a large medical center, including patient registration, insurance verification, claim submission, and denials management.
• Successfully increased collections by 15%
• Prio Authorization
• Maintained a high level of accuracy and compliance with coding standards.
• Appealing with claims both (Portal, Mailing and Fax)
WHY YOU SHOULD HIRE ME?
• I am a highly skilled and experienced medical biller with a proven track record of success.
• I am proficient in a variety of practice management software programs.
• I am HIPAA compliant and committed to providing high-quality customer service.
• I am a hard worker and I am always willing to go the extra mile.
PRIOR EXPERIENCE WITH EMR;
• EPIC
• ECW
• CentralReach
• Kareo
• Practice Fusion
• STI
• Tebra
• Simple Practice
I look forward to working with you!
