Karl Ivan D.
MisamisPhilippines

Medical Billing with Credentialing Background

As a medical biller, I possess a range of strengths and skills that enable me to excel in the field of healthcare revenue cycle management. Here are some of my key strengths and qualifications: 1. **Attention to Detail:** Medical billing requires meticulous attention to detail to ensure that claims are accurate and compliant with healthcare regulations. I am adept at reviewing patient records, verifying insurance information, and double-checking codes to minimize billing errors. 2. **Strong Communication Skills:** Effective communication is essential in the medical billing process. I have the ability to liaise with healthcare providers, insurance companies, and patients to resolve billing inquiries, clarify information, and ensure timely payments. 3. **Software Proficiency:** I am proficient in using medical billing software and electronic health record (EHR) systems, which streamlines the billing process and enhances accuracy and efficiency. 4. **Problem Solving:** I have a knack for identifying and resolving billing issues and denials. Whether it's investigating claim rejections or dealing with insurance disputes, I am skilled at finding solutions that lead to successful claims reimbursement. 5. **Compliance and Regulations:** Staying up-to-date with healthcare regulations, including HIPAA and Medicare/Medicaid guidelines, is crucial in medical billing. I am well-versed in these regulations and ensure that all billing practices remain compliant. 6. **Project Management:** I have experience in managing large volumes of claims and prioritizing tasks effectively to meet deadlines. This includes managing the entire revenue cycle from claim submission to payment posting. 7. **Accomplishments:** I have successfully managed several projects and achieved notable accomplishments in my medical billing career. These may include reducing claim denials, increasing clean claim rates, and improving overall revenue collection for healthcare facilities. 8. **Customer Service:** Providing excellent customer service to patients, answering their questions regarding bills, and assisting with payment options are essential aspects of my skill set.

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Skills

  • Customer Service
  • Data Entry
  • Insurance Verification
  • Insurance Claim Submission
  • Medical Billing & Coding