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Responsible for charge and payment entry within Electronic Health Record.
Coordinate and clarify with providers, when necessary, on information that seems incomplete or is lacking for proper account/ claim adjudication.
Responsible for correcting, completing claims for all payer.
Analyze and interpret that claim are accurately sent to insurance companies.
Perform follow up with Medicare, Medicaid, Medicaid Managed Care, and Commercial insurance companies on unpaid insurance accounts identified through aging reports.
Process appeals online or via paper submission.
Assist in reconciling deposit and patient collections.
Assist with billing audit related information.
Attend provider meetings when needed.
Communicate with credentialing department to identify and resolve credentialing issues.
Process billing calls and questions from patients and third-party carriers.
Answer/respond to correspondence related to patient accounts,answer billing and changes related inquiries by patients, staffs, Managed Care Organization, etc.
Communicate daily with providers and payers via phone calls and emails.
Research, record findings, and communicates effectively with Manager to achieve optimum performance.
Pursue and participate in education to remain current with changes in the Healthcare industry.
Contribute to team effort by accomplishing related results as needed.
Promote effective working relations and work effectively as part of a team to facilitate the departments ability to meet its goals and objectives.

charges and payment posting, AR, client queries via emails and phone.Reporting and invoicing

Responsible for daily billing ,payment posting. Aging follow by calling insurance companies or web portals. Responding to queries from provider office. preparing monthly financial reports and invoice

To perform medical billing for offshore doctors.
To keep informed of all changes in rules and regulation of insurance companies and regularly update Team leader.
To research/analyse and prepare appeals when claims are rejected.
To teleconverse with insurance companies for claim follow up.
To teleconverse with doctors in USA.
To resolve aging/overdue claims.
To resolve KPI and reporting to operation manager.