I am looking for a position with long term stability. I am experienced in both Medical Billing and Dental Billing with over 5 years of in-depth experience in the health care industry. I am a High level biller that is able to manage accounts and provide support to my clients. Promoted twice as a Lead Medical Biller handling 2 practices by myself and a Dental biller for 2 Departments (Billing & Financial Department) for 2 locations. I also have a background in Customer service and worked at the same time as a technical-support representative. Open for an interview if needed!
Medical & Dental Billing Services:
• Submitting Prior-Authorization/Pre-determination, Continuation of Care, creating narratives, and request for credentialing.
• Check Eligibility and verification of patient’s health benefits from insurance carrier’s website or through phone call verification
• Patient scheduling
• Full patient demographics and charge entry. Recurring Payments processing.
• 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, front desk, treatment coordinators, MA's, and from the doctor
• 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, ICD10, CPT and HCPCS Coding and/or review
• Daily, Monthly and annual AR Financial reports preparation
• Custom reports if required
• Patient billing as per instructions
• Credentialing guidelines
• Consulting/Training
• Super bill review
• Appeals
Medical & Dental Coding:
• To identify and research the right DX and CPT code according to medical records and treatment selected by patients for dental billing.
• Provide right DX pointers for the first time to avoid payment delays
• Suggest appropriate modifier for maximizing the revenue via Encoder pro Expert licensed version and supercoder