Revenue Cycle Manager | Senior Medical Biller

Overview

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

at $20.00/hour ($3,520.00/month)

Bachelors degree

Last Active

November 30th, 2024 (today)

Member Since

May 7th, 2021

Profile Description

System Use: AdvancedMD, Resource, Airtable, Salesforce, Hubspot, Seamless, Citrix, MTV, Bitrix, Prompt, IMS, Lablynx, Open Dental

I am humbled and honored to share my expertise in different verticals; Digital Marketing, Video and Photo Editing, Lead Generation, Business Proposal, Negotiation, Research and Strategy, Healthcare both Medical and Dental, specializing in Billing and Revenue Cycle Management:
- 15 years in the customer services-related industries
- 10 years in the administrative, lead generation, medical records, billing, collection/account receivable, insurance verification, claim adjudication, payment posting, appeal process, and obtaining preauthorization with years of Managerial levels and skills
- 7 years in the Sales and Marketing industries with years of Supervisory level including video and photo editing.
- and 2 years in the cruise ship industry with Royal Caribbean

TASKS PERFORMED:

-Work on all administrative works to address different statuses of the account/company process
-Adherence to policies and compliance with any client/process/product/updates and norms specified by ISO 27001 specifications.
-Address any problem/grievances that may have a bearing on productivity or efficiency
-Focus on success in the process based on customer deliverables
-Meet the individual and team goals on productivity and quality
-Participate in open forums with the Assistant Manager/Operations Manager and bring them to light
problems faced by the team.
-Meet the standard learning curve defined for the role.
-Learn the process and deliver the output defined; ensure compliance with the defined process to the best possible extent.
-Review and rebill claims for claim reprocessing
-Process grievance and appeal for claims dispute
-Call insurance to verify eligibility, benefits, dispute, and request for claims reprocessing
-Assist patient in filling out the Registration Form for patient’s information to be loaded into the system
-Assist patients in looking for a match provider depending on their preferences
-Assist and respond to live patient regarding their appointment concerns
-Scheduling patient with their preferred provider and appointment
-Helping patient reschedule their appointment
-Prior authorization requests

OFFERING SERVICES:

- Email Marketing
- Sales and Marketing
- Digital Marketing
- Video Editing
- Social Media Management
- Lead Generation
- Research and Strategy
- Process Improvement
- Dental Billing
- Medical Billing
- Revenue Cycle Management