Senior Specialist, Customer Service Representative with over 12 years’
experience of solid expertise in BPO Industry. Hard-working,
professional recognized by peers for my effective and multi-tasking
skills. Looking to apply my experience in Healthcare Account as
Report Analyst, File Management and Medical Biller at your
company. Fundamentals of Medical Billing, processing Claims,
Payments and HIPAA Privacy Training. I had worked for different kinds
of BPO industry mainly in billing, part of technical support and sales
as well. My experience in a high- pressured environment have taught
me attention to details, resilience and flexibility in using different
tools provided by the client. I am passionate and dedicated
person. My enthusiasm and dedication will help drive your
organization's success.
>Handles Physician and Hospital Billing.
>Proficient in Athena, Emerge
>Collecting payments over the phone.
>Determine Insurance eligibility .
>Analyze insurance claim and explanation of benefits .
>Generates revenue by making payments, putting account in
payment arrangements or other payment options.
>Updating insurance information and submit claims to insurance.
>Prepare and submit reports related to billing activities
>Review and appeal denied claims, including creating appeal
letters when necessary.
>Processing refunds.
>Adhere to HIPAA regulations and maintain patient
confidentiality at all times
>Identifying and billing secondary or tertiary insurances.
>Checking eligibility and benefits verification for treatments,
hospitalizations, and procedures.
>Performing A/R recovery and collection.
>Knowledgeable of medical billing codes, including CPT, claims
modifiers, and ICD-10 diagnosis coding.
>Process request using UB-04 or CMS1500.
>Work collaboratively with healthcare providers and other
members of the billing team to resolve billing issues
>Review and analyze medical claims to ensure accuracy and
completeness
