Sahari Dicritan

Sahari Dicritan

$9/hr
Medical Billing Specialist/Dental Billing Specialist/Financial Coordinator/Billing Team Lead
Reply rate:
-
Availability:
Hourly ($/hour)
Location:
Cagayan de Oro, Misamis Oriental, Philippines
Experience:
5 years
About

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

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