Hello,
I have 5 years experience of Advance-MD
Your requirement here states that you are looking for a medical biller/Coder specialist having good experience in US medical billing and services.I have 9 years of experience in medical billing industry as biller, collection manager.
Based on the job description I am expert in all tasks mentioned.
I am familiar with HIPPA, Medicare, Medicaid, HMOs, PPOs, and commercial insurance billing policies and guidelines. I have good knowledge of checking eligibilities & benefits with insurance to verify patient benefits while posting billing charges. I am also familiar with Medicare LCD, NCD policies.
• Complete grip on Contracting, Credentialing & Fee scheduling, EDI Enrollments and ERA/EFT setups.
• Good experience for billing and coding.
• Good in handing provider credentialing issues.
• Vast experience to get disputed denials paid through appeals and by reprocessing on call.
• Appealing on disputed denials to get paid.
• Recovery on adjusted claims and try to get recovery on claims which are old more than 1 year.
Specialities I worked on; (Billing/Coding/Collection AR Follow up/ Payment Posting/ Credentialing & Contracting)
1- Internal Medicine
2- Urgent Care
3- Neurologist
4- Family Medicine
5- Pain & Management
6- Urology
7- chiropractic
8- Orthopedic
9- Pediatrics
10-Chronic care management (CCM)
11-Advance care planning (ACP)
12-Telehealth
13-Nephrology
Thank you