I want to work in an international organization serving humanity. I would like to work in an challenging position so my abilities and skills be polished, improved, and develeoped and my talent and potent be utilised.
Patient Eligibility Verification, Charge entry and review, Payment posting, Denial Management, Claims Follow Up, making insurance calls for eligibility, claims status and follow up; Handling Patient and Clients Calls. Revenue Cycle Management, Invoicing
· Check insurance eligibility and benefits verification.
· Review the patient bills for accuracy and completeness and obtain any missing information.
· Prepare, review, and transmit claims using billing software, including electronic and paper claim processing.
· Knowledge of insurance guidelines, including HMO/PPO, Medicare, and state Medicaid.
· Follow up on unpaid claims within standard billing cycle time-frame.
· Check each insurance payment for accuracy and compliance with contract discount.
· Call insurance companies regarding any discrepancy in payments if necessary.
· Identify and bill secondary or tertiary insurances.
· All accounts are to be reviewed for insurance or patient follow-up.
· Research and appeal denied claims.
· Answer all patient or insurance telephone inquiries pertaining to assigned accounts.
· Set up patient payment plans and work collection accounts.
Managing Customer's Account for receivable revenue cycle.
Taking in depth care for customer satisfaction and their retention.
Entering medical data of US patients; submitting the medical claims US insurances on behalf of US doctors, and following up the claims for timely reimbursement, posting the payments receivable by the insurances and patients.
Interpersonal relation and work independently and with team.
Communication with insurance companies and doctors and the patients.