MedExcel Billing Services

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Overview

Hi, I'm Syeda Hina Shakil and Ready to work as a Medical Billing Project Manager or in another Healthcare position which, fully utilizes my skills and experience while offering an opportunity for advancement. I have 17 years of experience. From a Medical billing specialist, AR, EDI Analyst to Management level had almost performed all the tasks related to Medical billing. As Manager Operations I lead the group of 120 employees and look after all of their administrative and operational tasks. Responsible for accurate and timely posting of patient and insurance transactions including charges, payments, adjustments and refunds into the practice management system. I believe in providing quality services and client`s satisfaction and that is the only reason of my success. Project Specialization 1. Daily Audit of sample size. 2. Publishing weekly/monthly dashboard, production and accuracy report to client. 3. Working on new ideas to improve process accuracy and productivity. 4. Doing calibration with QCA, Team and Client to reduce process variances. 5. Tracking or identifying root causes of insurance denials and low revenue. 6. Conducting PKT (Process knowledge test) to bridge the knowledge gap. 7. Suggesting corrective actions, implementing solutions and reviewing implementation 8. Providing feedback and refresher training to individual and team. 9. Doing remotely and side by side audit of associates 10. Analyzing trends in quality check and fixing the bulk issue right away. - Strong claims follow up on denials from insurances like Workers Comp, Medicare, Medicaid, BCBS Semi Government, Managed care and Commercial Insurances (Aetna, BCBS, Cigna, UHC, Oxford etc...) - Patient billing inquiries as per received information from provider office - To check claim status from insurance, websites, auto response unit and via live calls. - To make on call appeals for reprocessing of incorrectly processed claims based on billing knowledge Work Experience of Software I have work experience of below mentioned software in medical billing. I have very good grasping power so it does not take much time to navigate new software. I am comfortable and adaptive with using many different types of medical billing software. 1. Waiting Room Solutions 2. AdvancedMD 3. Zendesk 4. Xifin 5. Phicure 6. Trizetto 7. EZ Claim 8. Office Ally 9. Kareo 10. Simple Practice I have worked for below mentioned specialties of provider’s claim. Specialties 1. Physical Medicine and Rehabilitation 2. Behavioural Care Solution/Mental Health 3. Weight loss 4. Genetic Testing Laboratory 5. DME 6. Dental 7. Physical Therapy 8. Skill Nursing Facility 9. Doctor's clinic or office setting 10. Internal Medicine 11.Cognitive and Behavioral Therapy Psychiatry Neurology Radiology Radiotherapy Rheumatology Urology Major follow up Insurance 1. Medicare 2. Medicaid 3. BCBS 4. Aetna 5. UHC 6. Cigna 7. Zurich 8. Tricare 9. Sedgwick 10. SCIF 11. Chartis 12. Oxford 13. Workers Compensation

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Upwork activity

Hourly rate

$15.00

Total jobs

0

Member since

Sep 26, 2022