Overview
For the past nine years, I have dedicated myself to mastering the intricacies of medical billing and coding, making me a trusted professional in the healthcare industry. My expertise extends across various medical specialties, including Family Medicine, Urgent Care, Oncology, Gastroenterology, Skilled Nursing, Home Health, Mental Health, Cardiology, Radiology, Labs practices, and more. I am well-versed in the entire revenue cycle management process, ensuring that healthcare providers receive accurate and timely reimbursement. Core Competencies: Medical Coding: Proficient in CPT and ICD-10 coding, ensuring precise and compliant claim submissions. Payment Posting: Demonstrated accuracy in EOB/ERA payment posting, promptly resolving payment discrepancies and refund issues. Insurance Verification: Thoroughly verify insurance eligibility and benefits to prevent claim rejections and ensure proper billing. Claim Submission: Expertise in reviewing medical records and submitting claims with attention to detail and compliance. Clearing Houses: Experienced in working with major clearinghouses such as Emdeon, Relayhealth, GatewayEDI Trizetto, Availity, and more. EMR/EHR Software: Familiar with various EMR/EHR software, including Practice Partner, Advanced MD, CureMD, Kareo, and others. Pre-Authorization: Skilled in obtaining pre-authorizations to streamline the billing process. Claim Follow-Up: Proactive follow-up with insurance companies to resolve denied claims and maximize reimbursements. Credentialing: Proficient in healthcare provider credentialing to ensure compliance with insurance networks. Software Skills: Proficient in Microsoft Office Suite (Outlook, Excel, Word, PowerPoint) Familiarity with Easy Print, EDI Insider, and Acrobat (versions 6.0, 7.0, 9.0) Compliance Knowledge: Up-to-date on ICD-10 and CPT code updates. HIPAA compliance and privacy regulations. LCD/NCD understanding for proper coding and billing. Service Offerings: I offer my services at competitive hourly rates or fixed percentages, depending on your specific needs. My primary objective is to support your business by ensuring timely, accurate billing, minimizing claim denials, and optimizing revenue collection. Why Choose Me: With my extensive experience and commitment to accuracy and compliance, I am dedicated to being a valuable asset to your healthcare business. My goal is to facilitate the seamless flow of claims, allowing you to focus on patient care while maintaining financial stability. If you're looking for a reliable medical billing and coding expert with a proven track record in revenue cycle management, let's connect and discuss how I can contribute to your success. Feel free to personalize this profile description further to align with your unique voice and approach. Best of luck with your Upwork endeavors!