Detail oriented individual seeking to work as a Medical Billing Specialist where exceptional customer service abilities and digital billing software competence will be applied to enable seamless financial transactions among patient, health provider, and insurance company.
I am responsible for all aspects of account follow up and collections, including processing appeals. Reviewing explanation of benefits to ensure proper reimbursement of claims and reports any problems, issues, or payer trends. Ability to analyze accounts and determine next appropriate action for account resolution. Collaborate with management to reduce aging of accounts by providing verbal and written communications. Working with payers to determine reasons for denials, corrects and reprocesses claims for reimbursement in a timely manner. Accurately and thoroughly documenting the pertinent collection activities in appropriate system.
Duties and Responsibilities
• Independently manage all activities of the medical billing cycle of assigned clients.
• Efficient Revenue Cycle Management of the assigned clients to establish and maintain positive, long term relationships with clients.
• Timely and error free medical bills entry and posting of the reimbursements received from insurances in the practice management software.
• Ensuring client satisfaction by an effective and regular follow –up on account receivables.
• Swift and accurate remedial actions on claims denied by healthcare insurances.
• Timely communication with insurances to ensure steady stream of client’s cash flow.
• Regular communication with client and his\\her office staff for prompt response to their queries.
• Striving for optimum utilization of company resources and suggesting areas of improvements.
In my position as a Billing Executive I have performed Medical billing for more than ten accounts. The primary responsibilities of a Billing Executive were;
Charge posting and demographic entries.
Payment posting on claims through ERA/EOBWebsiteIVR and Fax.
Filing primary and secondary claims and to patient where required.
Review bills accuracy and obtain any missing information from provider office.
Resolve/Repair claims rejected by clearing house in electronic submission.
Follow up on unpaid claims within standard billing cycle time frame.
Prepare appeals for denied claims.
Live calls with insurance companies for issue resolution and claim status.
Sending daily reports to Manager Operations on completion of assigned or predefined tasks.
Producing accurate and timely financial reports.