medical billing specialist Resume Examples

medical billing specialist

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Process medical charges and check filing claims.
Interacted regularly with medical professionals regarding billing polices/procedures.
Trained/coached new employees.
Provide the solutions and suggestions on queries (floor assistance).

Received and posted payments from clients and insurance companies.
Worked with various insurance companies to resolve denied claims.
Resolved billing issues identified by insurance carriers and patients.
Reviewed claim denials and payer requirements for corrective action and prevention in the future.
Researched and replied in a timely manner to insurance, patient, and internal customer inquiries.
Researched and resolved denials and EOB rejections within standard billing cycle timeframe.
Reviewed billing edits and provided insurance company with correct information.

Maintaining Issue logs, Update tracker, Clarification log for the assigned Clients
Weekly basis Web Ex interaction with US clients to discuss about process trends.
Provide the training pertaining to the process as per the updates by the client.
Preparing the SOP of the workflow for better understating of the process.

Accurately posted/submitted claims for multiple offices.
Researched CPT/ICD-9 coding discrepancies for compliance and reimbursement accuracy.
Posted insurance payments/adjustments manually.
Prepared daily deposits.
Updated patient demographics/verified insurance eligibility.
Covered various administrative positions throughout practice as needed.

Handle Inbound and Outbound calls associated with inurance companies and patient inquiries.
Accurately review accounts with patients according to their coordination of benefits and forwarding accounts for adjustments to ensure correct patient responsibility.
Correspond with insurance companies for reprocessing of denied claims with HCPC codes, ICD-9 codes.
Requesting back up documentation and uploading missing invoices for customers request.
Billing Medicare and private insurance companies for DME supplies.

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