Beep technologies

Motivated medical billing and coding specialist with over 8 years of experience in health operations management, billing, and coding. Expertise in ICD-9 and ICD-10, CPT, and HCPCS coding. Highly skilled in analyzing and validating patient information, diagnoses, and billing data. Demonstrated leadership skills that enable the processing of high volumes of patient information to achieve revenue generation goals. EXPERIENCE: MEDICAL BILLING & REIMBURSEMENT SPECIALIST • Responsible for processing payments, adjustments, and denials according to established guidelines (Payment Poster) • Knowledge of HCFA 1500 and UB4 1450 form. • Responsible for submitting electronic claims and paper claims to primary, secondary, and third-party insurance companies. • Knowledge with prior authorizations and cash posting. Able to read and interpret EOB's. • Review medical record documentation to identify services provided by physicians and mid-level providers as it pertains to claims that are being filed. • Ensure accurate entry of work into designated billing systems. • Assist with training materials and training staff members. • Communicates with the Clinics to provide or obtain corrected or additional data. • Performs corrections for patient registration information that includes, but is not limited to, patient demographics and insurance information. • Responsible for working EDI claim rejections in a timely manner. • Prepare and submit billing data and medical claims to insurance companies. • Collect and review referrals and pre-authorizations. • Follow up on missed payments and resolve financial discrepancies. • Investigate and appeal denied claims. • Register patients in the EHR system • Work with insurance companies to handle any "problem" claims that have trouble getting paid. • Send inpatient and outpatient claims to insurance companies for our clients with an emphasis on accuracy in coding. • Many various activities that included data entry, verifying insurances, follow-up, authorizations, and many more. Familiar with Softwares: I’m good at using different Billing cloud base software’s: • Advanced MD. • Office Ally. • CareCloud • Crystal PM • WayStar • Simple Practice • Drchrono • Collaborate MD. • ECW (E-clinical Works). • Athena Net • Care Tracker • Icanotes • Kareo • Medisoft • Emdeon EHR/EMR system • EPM (Electronic Practice Management). I have worked on following Billing specialties: • Internal Medicine. • Family Medicine. • Chiropractic • Gastroenterology. • Cardiology. • Radiology. • Oncology. • Ophthalmology. • Acupuncture etc. • Physical Therapy. • Mental Health. I have also experience communicating with US doctors and other third-party healthcare staff i.e. insurances, doctors, clearinghouses, and other third-party payers. Credentialing With insurance for All Payers. I have good experience for the credential of the provider with insurance for Medicare, Medicaid, And Commercial Payers. KEY SKILLS: • Ability to calculate figures and compute rate, ratio, and percent and to draw and interpret bar graphs and the ability to apply basic algebraic concepts. • Ability to work quickly. • Ability to read an explanation of benefits (EOB) and assigned patient liability including secondary/tertiary assignments. • Ability to read accounts receivable. • Knowledgeable in personal computer software and general office procedures. • Knowledge of Accounts Receivable. • Strong knowledge of medical terminology. • Excellent verbal and written communication skills, including the ability to effectively communicate with internal and external customers. • Knowledge and experience with Hospital & Professional Billing. • Medicare part A billing experience included Medicare DDE system. • Sound knowledge of EOB and ERA. • Working knowledge of basic computer functions, with an emphasis on typing. • Knowledge of Medicare/Medicaid billing (UB4). • HCFA 1500 • Denial Management. • Hospital Billing • Home Health Billing/Medicare Part A billing. • Office Billing • Strong teamwork skills • Critical thinking and problem-solving abilities.