I have been working as Revenue Cycle Specialist since 2015 and I have extensive knowledge on HIPAA, Medical Billing, Accounts Receivable, Insurance Verification and Coding.
Services I can offer:
• Medical Coding
• Sending claims to insurance via clearinghouse and paper submission
• Eligibility and Benefits Verification,
• Account Receivable Follow Up and Denial Management,
• Obtaining claim status from payer portal or call
• Appeal Writing for disputed claims,
• Prior and Retro authorization request
• Applying payments to accounts from ERA/EOB/websites and also patient payments.
• Credentialing guidelines with payer
• Sending statement to patient for PR-1, 2, 3, 96, 119
• Patient calling for billing inquiries(Inbound and Outbound).
Core Skills And Competencies:
• HIPAA Compliance
• ICD-10 codes
• CPT codes
• HCPCS codes
• Medicare and Medicaid Guidelines through CMS
Software which I know:
Kareo
Epic
Waystar
AdvanceMD
SimplePractice
Office Ally
Emdeon
Pverify
Citrix
Insurance Portal I have used:
Availity
Navinet
NGS(Medicare)
Palmetto GBA(Medicare)
Noridian(Medicare)
United Healthcare
Cigna
My Aerial
Medi-cal
Passporthealth
and many more...
