Manager Billing Services, A/R specialist & Data Entry
With over 6-years of consistent track record of leading & delivering interactive healthcare projects under HIPAA (Health Insurance Portability and Accountability Act) guidelines and experience of dealing and resolving complex issues with over 100 insurance companies in multiple states of US while working in positions as Medical Billing Expert.Reconciliation Manager and PM
got skills and expertise to function in international and complex environments.
An experienced professional in US healthcare industry and have a good grip on claim billing (Follow the ICD-9 book to apply correct ICD’s), processing and appeals, Eobs posting and A/R follow ups. I have passed Medical billing coding certification on Odesk. I Used to perform Insurance calls and patient calls to resolve the claims problems. I have been working on different practices specialties one of them is Oncology and labs. Follow the HIPPA privacy rules and compliance awareness. I have good knowledge of excel sheets, formulas and dashboard etc. Successful track record handling complicated assignments. Highly experienced in reconciling insurance and patient payments and resolving account disputes. Have good knowledge of EMR
Committed to professionalism, highly organized, able to see the bigger picture while paying attention to small details, strong customer focused approach, rich mix of project, operations and strategic management with excellent communication skills.
Medicare, State Medicaid, US Dept of Labor and Private/Commercial Payer Management:
• New Payer Contracts / Enrollments
• Re-Credentialing / Revalidations
• Changes of Information / Ownership / Acquired Locations
• Multiple Tax IDs
• NPI Enumeration / Management
• Set up of EDI, EFT, ERA, PECOS Processes and Provider Web Portals
• Response to Provider Compliance Inquiries
• Payer Issue Liaison / Resolution with Payers, CMS, NSC, MACs, NPPES etc.
• Credentialing Software Implementation
> I used to work on different practices with different specialties.
• Internal Medicine.
• Family Practice.
• Physical Therapy
• Pain Medicine
• Internal medicine
• Orthopedic surgeon
Working with clearing houses:Emdeon, Relayhealth, Mckesson, PMSI.
Working with softwares: Medisoft, Ppart, Doccomply,Kareo
Dedicated to maintaining the strict patient confidentiality.