I am a dedicated and detail-oriented professional with a strong background inhealthcare administration. My expertise lies in accurately processing and managingmedical claims, ensuring that all billing procedures comply with regulatory standards and guidelines. I possess excellent organizational skills and a keen eye for detail, which helps me identify and resolve discrepancies efficiently. My ability to communicate effectively with insurance companies, healthcare providers, andpatients allows me to facilitate smooth financial transactions and resolve billingissues promptly and financial stability for healthcare providers
-RESPONSIBILITIES -
Insurance Verification - is a process of verifying a patient’s insurance is valid and determines the specific of their coverage
Patient Demographic Entry - to collect information of the patients including their names, address, date of birth, insurance details ad medical historyand ICD-10 Coding - CPT codes identify services rendered, whereas ICD-10 CODES represent patient diagnosis
Charge Entry - to ensure that all the data is included in theclaim and is ready to be filed
Submission - to submit claims and should be checked forquality before they are sent
Payment Posting - it offers an overview of the patient payments, insurance checks from ERA - Electronic Remittance Advice and EOB - Explanation of Benefits
Receivables Follow-up - is process of diligently tracking and resolving claims and unpaid balances with insurance company and patient
Denial Management - is a process of preventing, investigating analyzing, and resolving denied claims
Verified
