Over the last 6 years I worked as a medical Biller and A/R Specialist, my primary responsibilities were the following- timely submission of professional medical claims, Data Entry Billing, Payment posting, Follow-up with insurance companies for claims & appeals
1 - Responsibilities to perform medical billing for offshore provider (Doctor in USA)
a. Insurance claims submission (primary, secondary or tertiary)
b. Strong claims follow up on denials from insurances
c. Eligibility & Benefits verification
d. Patient Billing
e. Daily, Monthly and annual AR Financial reports preparation
f. ICD9 and ICD10 CPT and HCPCS Coding and/or review, Encoder pro Expert licensed version guided for correct coding
g. To research the right DX and CPT code according to medical records
2. Clearing house i worked with are:
a. GatewayEDI
b. PhicureEDI
c. Availity