APNA Medical Billing & Consultant

✨A Revenue Cycle Management Specialist with 7+ years of experience in the Medical Billing field and assist clinics, facilities, and individual medical and mental providers in growing and improvising their Revenues. I am a Growth Partner and Strategy Analyst for multiple providers and contribute to the healthcare industry✨ 🏆What do I provide to my client?🏆 🎯Provide Reliable & Cost-Effective Solutions 🎯Provide First Time Resolution 🎯Service Delivery within Turn Around Time 🎯Innovative & Continuous Improvement in service. 🎯Provide Quality work & unlimited Customer Support. In these years, I was dealing with small and large group practices as well as individual providers. I performed all the tasks related to billing, such as Eligibility verification, Prior authorizations, Patient Data entry, and creating claims (Office/Hospital/Nursing Home/Diagnostics Claims). Posted payments (ERA/EOBs), Electronic claims submission, EDI rejections, and Insurance calls, follow-up on denied claims, worked on AR, prepare appeals, Insurance credentialing, EDI enrollments, etc. I believe in providing quality services and client satisfaction, which is the only reason for my success. 🏆Job Responsibilities🏆 ✔️Patient Registration/Face sheet/demographics/insurance information. ✔️Checking patient eligibility and benefits ✔️Creating and submitting clean claims to insurance companies. Credentialing and enrollments with payers. ✔️Obtaining prior and retro authorizations for services ✔️Applying payments to accounts from ERA/EOB/websites and also patient payments. ✔️Aging report/Follow-up/Appeals ✔️Customer services and administrative assistance. ✔️Denials & Rejections management ✔️Handling patient concerns regarding billing ✔️Sending invoices to different offices and clients ✔️Patient assistance (Inbound & Outbound) 🏆Core Skills And Competencies🏆 ✔️HIPAA Compliance ✔️ICD-10 codes ✔️CPT codes ✔️HCPCS codes ✔️Medicare and Medicaid Guidelines through CMS ✔️Knowledge of Payer Reimbursement Characteristics and Billing Policies ✔️Documentation review and Auditing ✔️Daily, Weekly, Monthly or Quarterly Reconciliation ✔️Performs well in complex environments with little direction 🏆The specialties I have been working for are as follows🏆 ✔️Urgent care ✔️Physical therapy ✔️Chiropractic ✔️Assisted Living Facility ✔️Psychology & Psychiatrists ✔️Radiology ✔️In-patient & Out-patient hospital billing ✔️Nursing & Skilled Nursing billing ✔️Gynecology ✔️Pain Management & Rehabilitation 🏆Softwares I can worked🏆 ✔️NextGen & Health Fusion ✔️Therapy Appointment ✔️Dr Chrono ✔️Therapy Notes ✔️Practice Fusion ✔️Simple Practice ✔️Kareo/Tebra ✔️OfficeAlly ✔️Athena ✔️ECW 🏆EHR/EMRs/Clearinghouse🏆 ✔️Trizetto (Gateway) ✔️Practice Fusion ✔️Availity ✔️Optum ✔️Kareo EHR ✔️Athena ✔️Emdeon ✔️Eligibility Thanks