As a Medical Biller and Accounts Receivable Specialist, I bring a well-rounded skill set essential for managing the full revenue cycle efficiently. I specialize in accurate and timely charge entry for claim submissions, ensuring compliance with Point of Service (POS) guidelines and proper alignment between diagnosis and procedure codes. With strong attention to detail, I verify payor IDs and addresses, validate claims prior to submission, and confirm correct provider pay-to information.
My experience includes posting patient payments, generating comprehensive monthly aging reports, and closely tracking claims for follow-up. I take a proactive approach by reviewing prior notes and Explanation of Benefits (EOBs) before engaging with insurers, and I am adept at retrieving necessary documents from payer portals. I’m also skilled at reconciling ledger discrepancies, drafting effective appeal letters for aged claims, and making necessary corrections to diagnosis or CPT codes to resolve denials.
I am knowledgeable in handling secondary insurance, including accurate balance billing and patient invoicing when secondary coverage is not available. My administrative capabilities include submitting claims and documentation to secondary insurers through electronic or fax systems and processing W9 forms for facility address updates.
Additionally, I am experienced in submitting medical records via payer portals to resolve denials, interpreting EOBs to determine claim outcomes, and processing referrals. I also place high importance on patient satisfaction by responding promptly to billing inquiries.
Areas of Expertise:
HIPAA compliance
Google Workspace proficiency
Organizational and strategic pl-----------ing
Time management
Online research skills
Expertise in medical billing software including Tebra/Kareo, eClinicalWorks (ECW), Athenahealth, and ModMed
Strong insurance knowledge
Clear and professional communication (written and verbal)
Critical thinking and problem-solving
Coordination and interpersonal skills
Adaptability and teamwork
Exceptional attention to detail
Tools & Platforms:
Tebra/Kareo
Athena One
ModMed
Availity
United Healthcare Portals
Google Workspace (G Suite)
Canva
Microsoft Office Suite
Microsoft Teams<8efe80624d780eba0c6493ec45140364>Skype
Dropbox
With my diverse experience, technical proficiency, and dedication to accuracy, I am confident in my ability to be a valuable asset to any medical billing team.
