Revenue Cycle Management Specialist/Medical/Dental VA

Overview

Looking for full-time work (8 hours/day)

at $6.40/hour ($1,126.40/month)

Bachelor of Science in Business Administration,    Major in Management
Diploma in Computer Secretarial
Professional Caregiver Course

Last Active

December 20th, 2024 (today)

Member Since

February 26th, 2020

Profile Description

Areas of expertise:

-Verify patient insurance eligibility through insurance portals. 
-Obtain pre-authorizations for procedures. 
-Update patient files with insurance details. 
-Copays and deductibles, if there are any. Explain the benefits of insurance to patients. 
-Liaise with insurance providers to clarify coverage details. Track the status of pending insurance claims. 
-Assist patients with insurance-related queries. 
-Medical encoding, CPT/CDT, and ICD; submission of dental/medical claims; explanation of benefits; and explanation of remittance advice. 
-Payment posting is on the patient chart. 
-Resolve billing discrepancies. Review and appeal denied claims. Ensure compliance with coding and billing regulations. 
-Generate billing reports for management. 
-Credentialing or empanelment if the provider is not yet covered by new insurance.
 
Platforms used:
Eclaims/DHPO- UAE
Medent, US
Dentrix (US)
Eaglesoft (US)
Healthy Enet-US
Office Ally
Chiro
Vosio
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