You will get I am well rounded RCM Specialist
Project details
Account Receivable Executive includes creating charges, verifying
eligibility, handling rejections & denials, and posting payments. I am also skilled in
evaluating the credentialing of the provider and setting up EFT & ERA enrollments,
among other tasks.
eligibility, handling rejections & denials, and posting payments. I am also skilled in
evaluating the credentialing of the provider and setting up EFT & ERA enrollments,
among other tasks.
Data Entry Type
Data Cleansing, Document Conversion, Error Detection, Online ResearchData Entry Tool
Google Docs, Microsoft Excel, Microsoft WordWhat's included
| Service Tiers |
Starter
$150
|
Standard
$200
|
Advanced
$300
|
|---|---|---|---|
| Delivery Time | 30 days | 45 days | 60 days |
Number of Revisions | 3 | 2 | 1 |
Number of Hours of Work | 40 | 60 | 80 |
Formatting & Clean Up | |||
Graph & Table Creation |
Optional add-ons
You can add these on the next page.
Fast Delivery
+$50 - $20About Hamza
Medical Blling & Coding, Payment Posting and Credentialing
Lahore Cantt, Pakistan - 12:12 am local time
I have an extensive 7 years of experience in Medical billing, posting, reading EOB/Records, denials management, charge creation, AR and RCM. I can handle authorizations, enrollments, credentialing, EDI. I'm a highly-skilled, self-motivated, and specialized in delivering high-quality services on time concerning strict deadlines and high expectations. What do I provide to my client?
1- Provide Reliable & Cost-Effective Solutions
2- Provide First Time Resolution (FTR)
3- Service Delivery within Turn Around Time (TAT)
4- Innovative & Continuous Improvement in service.
5- Provide Quality work & unlimited Customer Support.
In these years, I was dealing with small & large group practices as well as individual providers. I had performed all the tasks related to Medical billing, such as Eligibility verification, Prior authorizations, Patient Data entry, creating claims (Office/Hospital/Nursing Home/Diagnostics Claims). Posted payments (ERA/EOBs), Electronic claims submission, EDI rejections, Insurance calls, follow-up on denied claims, worked on AR, prepare appeals, etc.
I believe in providing quality services and client satisfaction, which is the only reason for my success.
Job Responsibilities:
1: Patient Registration/Face sheet/demographics/insurance information.
2: Checking patient eligibility and benefits
3: Creating and submitting clean claims to insurance companies.
4: Obtaining prior and retro authorizations for services
5: Applying payments to accounts from ERA/EOB/websites and also patient payments.
6: Aging report/Follow-up/Appeals
7:Customer services and administrative assistance.
8: Denials & Rejections management
9: Handling patient concerns regarding billing
10: Bookkeeping
11: QuickBooks
12: Sending invoices to different offices and clients
13. Patient assistance (Inbound & Outbound)
Core Skills And Competencies:
• HIPAA Compliance
• ICD-10 codes
• CPT codes
• HCPCS codes
• Medical Terminology
• Medicare and Medicaid Guidelines through CMS
• Knowledge of Payer Reimbursement Characteristics and Billing Policies
• Medical Documentation review and Auditing
• Daily, Weekly, Monthly or Quarterly Reconciliation
• Performs well in complex environments with little direction
Specialties I have been working for are as follow:-
Urgent care
Physical therapy
Chiropractic
Assisted Living Facility
Psychology & Psychiatrists
Mental & Behavioral health
Acupuncture
Family practice
Internal medicine
Cardiology
Radiology
In-patient & Out-patient hospital billing
Nursing & Skilled Nursing billing
Gynecology
Pain Management & Rehabilitation
Medical Billing software's:-
PrognoCis
Simple Practice
AdvancedMD
Kareo
OfficeAlly
Athena
ECW
NextGen & Health Fusion
Presidio
FILEVINE
EHR/EMRs/Clearinghouse:-
Trizetto (Gateway)
Kareo EHR
Practice Fusion
HelloNote
Athena
Emdeon
Imagine
MedCapp
My focus points:-
1. Daily audit of sample size.
2. Publishing weekly /monthly dashboard, production, and accuracy report to clients.
3. Working on new projects to improve process accuracy and productivity.
4. Doing calibration with QCA, Team leader, and SME to reduce process variances.
5. Tracking or identifying root causes and process variances.
6. Conducting PKT (Process knowledge test) to bridge the knowledge gap.
7. Suggesting corrective actions, implementing solutions, and reviewing implementation
8. Providing feedback and refresher training to individuals and teams.
9. Doing remotely and side by side audit of associates
Steps for completing your project
After purchasing the project, send requirements so Hamza can start the project.
Delivery time starts when Hamza receives requirements from you.
Hamza works on your project following the steps below.
Revisions may occur after the delivery date.
Medical Billing & Coding Specialist
My expertise lies in Internal Medicine, Mental Health, Nephrology Specialty, and Emergency Room Services. I have worked on multiple medical billing projects and have a solid grip on both government and commercial insurance.