Medical Billing/AR/Denials/Coding Professional
I am a dedicated, self-starter Medical Billing/AR/Denials/Coding Professional, and having the experience of over 14 years in Medical Billing Domain and handled lot of different specialty practices, and worked on number of Practice Management Softwares, and also worked on Medical Coding of ICD-9, CPT-4, HCPCS, and Modifiers.
a) Medical Billing Services includes the following:-
- To check Eligibility and verification of patient¿s health benefits from insurance carrier¿s website and Via 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 and decision making for Collections
- Strong claims follow up on denials from insurances like Workers Comp, Government payers, Managed care and Commercial Insurances (Aetna, BCBS, Cigna etc...)
- Patient billing inquiries as per received information from your office
- To check claim status from insurance auto response unit and via live calls.
- To make on call appeals for reprocessing of incorrectly processed claims based on billing knowledge
- ICD-9, CPT-4 and HCPCS Coding and/or review
- Monthly and annual reports preparation
- Custom reports where required
- Patient billing as per instructions
- Credentialing guidelines
- Super bill review
(b). Medical Coding
- To research the correct 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
- Family Practice
- Orthopedic Surgery
- Internal Medicine
- Sports Medicine
- Pain Management
- Therapy (Physical, Occupational, Speech)
Would be my pleasure to provide you my services.