Hire the Best Electronic Medical Record (EMR) Specialists in New Delhi, IN

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Pankaj S.

New Delhi, India

$7/hr
4.3
18 jobs

I have more than 10 years of extensive experience in end to end Medical Billing & Coding. Experienced in End to End Healthcare Revenue Cycle Management includes insurance eligibility and benefit verification, Pre-Authorization Specialist, Demo Entry, Denial Coding, Charge Entry, Transmission, Payment Posting, Accounts Receivable and denial management, patient registration, Credentialing, indexing medical records and Expertise in ICD-9 and ICD-10, CPT, and HCPCS coding. 1) Eligibility & Benefits verification Eligibility & Benefits will be checked via website & phone with insurance. 2) ICD 10 Coding To review superbills & code the patient visit with appropriate CPT, ICD 10 also check for any modifier requirement. 3) Charge entry While coding, charges are entered in billing system & billed to insurance. 4) Resolving rejected claims If any claim is rejected then to correct it & rebill to insurance. 5) Posting payments & account Reconciling. Once payment is received either via EFT or check it will be posted to respective patient account & statement is sent to patient for his/her responsibility. 6) Follow up on claims & denial management If any claim is denied then to call insurance to find out the reason & take correct action such as any correction in claims data or to send appeal if required. At the end of month to create a report of denied claims to find out top denials & to take a preventive action to avoid such denials in future. 7) Creating various reports as per requirement. I can create monthly reports for aging, collection & other custom reports per requirement. Work Experience of Doctor Speciality: 1) Physical Therapy 2) Pain Managment 3) Chiropractic 4) Mental health 5) Dental 6) Skill Nursing Facility 7) Internal Medicine 8) Pediatrics 9) ENT 10) Home Health 11) Podiatry 12) Orthopedic 13) Gastroentrology Experience of Software : 1) Medical Manger ( MM 9 and 10 version) 2) Advance MD 3) Dr. Chrono 4) WRS 5) Office ally 6) Citrix 7) eClinicalWorks 8) Open Practice Solutions 9) Kareo 10) Open Dental 11) Next Gen 12) Epic 13) Athena Gateways: 1) Trizetto 2) Optum EDI 3) Availity 4) Apex 5) Zirmed 6) Emdeon 7) Change Healthcare 8) Waystar Payers I am experienced with 1) All commercial payers: BCBS, Cigna, Aetna, Humana, UHC, Care Plus, etc 2) Federal Payer: Medicare, Medicaid, Tricare 3) Workers Comp & Auto insurances. I believe in hard work and honesty. I am always interested in making long-term professional relationships with my clients and will never complete the project until the client is 100% satisfied. Thank you for viewing my profile. Thanks for your Consideration.

  • Medical Records Research
  • Data Entry
  • Customer Service
  • Customer Support
  • Phone Communication
  • Medical Translation
  • Accounts Receivable Management
  • Medical Billing & Coding
  • Healthcare Management
  • Insurance Verification
  • EMR Data Entry
  • Accounts Payable
  • Medical Transcription
Apoorva S.

New Delhi, India

$10/hr
4.9
28 jobs

I have 7 years of experience in USA healthcare Industry (Medical Billing), HIPAA privacy rules, HIPAA Certified, Management skills, Six Sigma, Quality Compliance and customer support. I have worked on all segment of Medical billing and also did quality check for same. I am willing to work with you on long term basis. You may see my services on trial basis and then decide about my candidacy for the project. I assure timely delivery of the task with quality. My expertise is in several areas of Medical billing and AR Collections. I have worked on all function of medical billing (Patient registration, Transcription, Insurance Verification, charge entry, coding, Payment posting, AR follow up, Collection and Refund) and also did quality check for same. I have also prepared training manual for AR and payment posting. I always try to identify opportunity to improve billing cycle and focus on continuous improvement in process by applying six sigma methodologies. I have worked for below mentioned specialties of provider’s claim. I have exposure of working on below mentioned functions of Medical billing and also did quality check for same. a) Medical Billing Services includes the following:- - To check Eligibility and verification of patient’s health benefits from insurance carrier’s website and through Phone. - Create appointments on scheduler while receiving patient calls - Full patient demographics and charge entry - Insurance claims submission (primary, secondary or tertiary) - Accounts receivable analysis with corrective and preventive actions and decision making for Collections - Strong claims follow up on denials from insurances like Workers Comp, Medicare, Medicaid, BCBS Semi Government, Managed care and Commercial Insurances (Aetna, BCBS, Cigna, UHC, Oxford etc...) - Patient billing inquiries as per received information from provider office - To check claim status from insurance, websites, auto response unit and via live calls. - To make on call appeals for reprocessing of incorrectly processed claims based on billing knowledge - ICD9, CPT and HCPCS Coding and/or review, Encoder pro Expert licensed version guided for correct coding - Daily, Monthly and annual AR Financial reports preparation - Custom reports where required - Patient billing as per instructions - Credentialing guidelines - Consulting/Training - Super bill review - Appeals (b). Medical Coding - To research the right DX and CPT code according to medical records - Provide right DX pointers for the first time to avoid payment delays - Suggest appropriate modifier for maximizing the revenue via Encoder pro Expert licensed version (c). Specialties Anesthesiology Cardiology Chiropractic Dermatology Emergency Medicine Endocrinology Family Practice Gastroenterology General surgery Geriatrics Gynaecology and obstetrics Internal Medicine Pneumology Orthopaedic Otolaryngology Pathology Pediatrics Physical Medicine and Rehabilitation Physical Therapist Psychiatry Neurology Radiology Radiotherapy Rheumatology Urology I have worked on most of the software, EMR & EHR which are used for medical billing like Brightree, Kareo, AllScripts, Lytec, Epic, Medical Manager, eClinical Works, Kam, IDX, Medisoft, Soapware. Loooking forward to hear you soon !!! Thanks,

  • Data Entry
  • Customer Service
  • Administrative Support
  • Medical Billing & Coding

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