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Renalyn R.

Renalyn R.

Bais, Philippines
Job Success
Top Rated Plus

Team Lead Medical Billing/Expert Medical Billing/VA/SME

Renalyn is a proficient, self-motivated Medical Billing Specialist with excellent skills and successful experience for more than six years. She was exposed to most of the areas in Patient and Insurance Billing, such as: 1. Patient account management, which includes patient registration and appointment scheduling 2. Verification of patient eligibility and benefits and identification of correct payers 3. Claims Creation from EMR or Superbills 4. Resolving Clearinghouse rejections and some EDI errors 5. Verification of Provider Contract Info [contract, network participation, contract fee schedule] with payers/insurances to assure that providers receive payment correctly 6. Payment Posting from insurances and patient and dealing with Zero-Paid EOB's 7. Setting up ERA and assisting in provider's EFT setup 8. AR follow up which includes insurance phone calls 9. Resolving claim issues and denials 10. Registration of provider tools such as Availity, Navinet, UHC-Link, Optum, etc. 11. Interpretation of patient EMR Below are my additional expertise in Clinic Administrative duties : 1. obtaining eRX and medication ePA 2. patient scheduling 3. patient care coordination EHR and Clearinghouse Exposure : - WRS Health EHR - Trizetto Gateway EDI - PHIcure - Kareo EHR -eCW -Brightree - AthenaHealth ***Quick Base / Pulse for Admin Duties Renalyn has worked primarily in the field of Behavioral Health (Psychiatry, Mental Health, and Sleep Medicine, Substance Use) but was also able to handle other areas such as ENT, Family Medicine, Surgery, Home Health care, and DME. Besides professional billing, she could also take a practice that does Facility Billing [uses UB-04 form]. She possesses exceptional knowledge in CPT and diagnosis coding. Apart from medical claims, she also has experience in submitting EAP and Worker's Comp Claims. Renalyn is proud to say that the sites/practices she has worked with had zero to minimal instances of denials that somebody can no longer be reversed. Renalyn has been known for the excellent quality of work. Once she starts working on a site, she tries to research the codes and way of billing and learn the needs of my practice to contribute more fully. One of her commendable skills is to help the site troubleshoot medical codes used in their practice and billing issues. In this way, she could help the site increase its revenue and avoid unnecessary rejections or denials. Renalyn has been known not just by her managers but also her workmates and teammates as someone who is always available to share the knowledge and experience in resolving an issue and who is always ready to assist. One of her great attributes is being trustworthy. She always makes sure that if she won't have enough workload in her sites, she always informs her Billing Managers so they can add more tasks that need to be attended. It is also her way of showing that she values her job and the experiences she can gain when faced with different tasks or issues. Before Renalyn ventured into medical billing and coding career, she was a Provider Service Representative for three years. She received inbound calls from the provider's office or a third-party billing company calling for eligibility and benefits, claim status, appeal and dispute status, authorization status, and credentialing status of the provider. She was also working in the field of online English teaching. She is also fluent in English and can work well with other people. Aside from being familiar with MS Office tools and other applications and software, she can also type at least 40 words per minute with 97% accuracy. She has excellent analytical and designing skills and can find ways to solve work-related problems even with minimal supervision. Renalyn has a solid commitment to excellence and is looking for a new facet in medical billing career. Hire Renalyn, and she will give you quality results!
Rating is 5 out of 5.
5.00 Nov 17, 2022 - Dec 20, 2022
Private earnings
Rating is 4.1 out of 5.
4.10 Feb 22, 2021 - Apr 13, 2021
Private earnings
Aug 1, 2016 - Jan 14, 2021

No feedback given

Private earnings
Renalyn R. has more jobs. Create an account to review them

Portfolio

Expert Medical Billing
Expert Medical Billing
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Skills

Renalyn R.

Renalyn R.

Bais, Philippines
Job Success
Top Rated Plus
5
Total Jobs
3,095
Total Hours

View profile

Team Lead Medical Billing/Expert Medical Billing/VA/SME

Specializes in
Renalyn is a proficient, self-motivated Medical Billing Specialist with excellent skills and successful experience for more than six years. She was exposed to most of the areas in Patient and Insurance Billing, such as: 1. Patient account management, which includes patient registration and appointment scheduling 2. Verification of patient eligibility and benefits and identification of correct payers 3. Claims Creation from EMR or Superbills 4. Resolving Clearinghouse rejections and some EDI errors 5. Verification of Provider Contract Info [contract, network participation, contract fee schedule] with payers/insurances to assure that providers receive payment correctly 6. Payment Posting from insurances and patient and dealing with Zero-Paid EOB's 7. Setting up ERA and assisting in provider's EFT setup 8. AR follow up which includes insurance phone calls 9. Resolving claim issues and denials 10. Registration of provider tools such as Availity, Navinet, UHC-Link, Optum, etc. 11. Interpretation of patient EMR Below are my additional expertise in Clinic Administrative duties : 1. obtaining eRX and medication ePA 2. patient scheduling 3. patient care coordination EHR and Clearinghouse Exposure : - WRS Health EHR - Trizetto Gateway EDI - PHIcure - Kareo EHR -eCW -Brightree - AthenaHealth ***Quick Base / Pulse for Admin Duties Renalyn has worked primarily in the field of Behavioral Health (Psychiatry, Mental Health, and Sleep Medicine, Substance Use) but was also able to handle other areas such as ENT, Family Medicine, Surgery, Home Health care, and DME. Besides professional billing, she could also take a practice that does Facility Billing [uses UB-04 form]. She possesses exceptional knowledge in CPT and diagnosis coding. Apart from medical claims, she also has experience in submitting EAP and Worker's Comp Claims. Renalyn is proud to say that the sites/practices she has worked with had zero to minimal instances of denials that somebody can no longer be reversed. Renalyn has been known for the excellent quality of work. Once she starts working on a site, she tries to research the codes and way of billing and learn the needs of my practice to contribute more fully. One of her commendable skills is to help the site troubleshoot medical codes used in their practice and billing issues. In this way, she could help the site increase its revenue and avoid unnecessary rejections or denials. Renalyn has been known not just by her managers but also her workmates and teammates as someone who is always available to share the knowledge and experience in resolving an issue and who is always ready to assist. One of her great attributes is being trustworthy. She always makes sure that if she won't have enough workload in her sites, she always informs her Billing Managers so they can add more tasks that need to be attended. It is also her way of showing that she values her job and the experiences she can gain when faced with different tasks or issues. Before Renalyn ventured into medical billing and coding career, she was a Provider Service Representative for three years. She received inbound calls from the provider's office or a third-party billing company calling for eligibility and benefits, claim status, appeal and dispute status, authorization status, and credentialing status of the provider. She was also working in the field of online English teaching. She is also fluent in English and can work well with other people. Aside from being familiar with MS Office tools and other applications and software, she can also type at least 40 words per minute with 97% accuracy. She has excellent analytical and designing skills and can find ways to solve work-related problems even with minimal supervision. Renalyn has a solid commitment to excellence and is looking for a new facet in medical billing career. Hire Renalyn, and she will give you quality results!
Rating is 5 out of 5.
5.00 Nov 17, 2022 - Dec 20, 2022
Private earnings
Rating is 4.1 out of 5.
4.10 Feb 22, 2021 - Apr 13, 2021
Private earnings
Aug 1, 2016 - Jan 14, 2021

No feedback given

Private earnings
Renalyn R. has more jobs. Create an account to review them

Portfolio

Expert Medical Billing
Expert Medical Billing
Want to see more? Create Account

Skills

More than 30 hrs/week

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