Medical Billing and Practice Analysis
Being a versatile Medical Billing & Client Relations Professional with complete understanding of Medical Billing Process and Requirements of Medical Practice, I will be very keen to work as Medical Billing Professional or in any other position which fully utilizes my skills and experience.
Excellent working knowledge of MS Office, Web Fax (Metro Fax), MTBC, Meditech, IKnowMed, Pyxis Med-station, Ovation2k, CureMD, Kareo, Practice Fusion, ADS, Encoderpro, Payer Portals, CRM, SPSS and number of other related tools and software’s.
1- Medical Billing Services Includes the following:-
- To check Eligibility and verification of patient’s health benefits from insurance carrier’s website and through Phone.
- 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
- Daily, Monthly and annual AR Financial reports preparation
- Custom reports where required
- Patient billing as per instructions
- Credentialing guidelines
- Super bill review
2- Practice Analysis:-
Oncology Practice Expert (Pyxis Med-station Reports, Drugs Dispensed and Wasted Reports, Pre-Certifications, Billing & Coding Analysis, Pharmaceutical Purchases and Collection Reports, Medical Necessity Denials & Appeals, LCD’s, Client Coordination etc)
3- Client & Patient Support:-
All kind of communication and support for Providers and patients (Including Patient's calling)
4- Accounting Services:-
Accounting services for Medical practices including Quick-book management, Tax Filing and budgeting.
In case of interest or any query related to Medical Billing & Practice Analysis I can be reached at firstname.lastname@example.org