خلاصہ

Medical Biller

From last 10 years, I am working as Medical biller & coder and provide services for whole revenue cycle management. I have majorly work on Primary care, Urgent care, Family, Internal medicine, physical therapy, Acupuncture, Mental health, chiropractic, plastic and Reconstructive surgeries, pain management, Radiology and labs practices. I am a quick learner and have very good accuracy in entering charges, EOB/ERA payment posting.


I have worked in following fields of medical billing

Review medical record & Claim submission(CPT ICD10 coding)
EOB Payment posting or refunds payments issues
ERA downloading & posting
Monthly check balancing and closing
Insurance eligibility & benefits verification
Follow-up with insurance companies for denied
claims,
Eligibility & benefits verification
Patient demographics entry
Obtaining Pre-authorization
Credentialing


Billing form that I worked with are

HCFA1500 printing and billing
UBO4 institutional form
C 4.0 initial report W/C
C 4.2 progress report W/C
NF3 No Fault NY
MG2. Authorization


Medical Billing EMR/EHR software I worked on are

Practice partner
Go Green Bills
Dr. Chrono
SequelMed
Kareo
Docomply
Amkai
Medix
Office Ally


Clearing house I worked with are

Emdeon
Relayhealth
GatewayEDI Trizetto
Availity
Navinet
Office ally


I am fairly aware of icd10 update, I know how to check LCD and correct use of icd10 according to their CPT, modifiers, deductible, copay coinsurance, network or out of network insurance issues. I also used programs, Network Professional, Accrobate (6.0, 7.0, 9.0), Microsoft complete office (Outlook, Excel, Word & Power point), Easy print, and EDI insider