With 5 years of extensive experience, I developed expertise in Medical Billing and Revenue Cycle Management, particularly in Podiatry and Mental/Behavioral Health. My experience highlights several key responsibilities such as:
-Verifying Patient's Eligibility- Ensuring patients are eligible for services for accurate billing and minimizing denials.
-Resolving Denials- addressing issues that lead to claim denials including understanding payer requirements and correcting errors promptly.
-Posting Insurance and Patient Payments- using both automated and manual methods in posting remits to the practice management's software. Also ensuring that claims are being with the correct allowable amounts for each service.I also deal with Zero-Paid EOBs
-Following Up on Claims- reaching out to insurance by email, and chat-supported portals, and calling to inquire about outstanding claims to ensure timely reimbursement.
-Verifying Denials and Submitting Clean Claims- reviewing denied claims, identifying the reason for denial, and resubmitting claims with necessary corrections and documentation.
-Creating Appeals- submitting appeals when claims are denied, including appeals for timely filing or reconsideration and providing any additional medical records required to support the claims.
-Submitting clean claims- ensure claims are submitted to the patient's correct insurance following insurance guidelines to reduce claims denials and speed up reimbursement processes.
I have a background in using different Practice Management Software such as:
-NextGen (Meditouch/HealthFusion)-TherapyNotes-Avea-SimplePractice-Kareo/Tebra-CollabMD-Office Ally
I am also knowledgeable with insurance such as Medicare and Medicare Supplements, Medicaid and Manage Care, Commercial Insurance, DME billing, and Workers Comp. Part of my experience is handling small to huge-sized practices in the states of New Hampshire, Texas, Kentucky, and Tennessee.
Regarding my expertise in this area, I am capable of delivering high-quality work. I am known for being focused, driven, professional, and a strong team player. In addition to that, I also have a keen eye for detail, being organized and accurate in tasks I do, traits that are considered effective and efficient in this line of work.
