John

 Medical Biller | Certified Professional Coder

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Overview

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

at $8.80/hour ($1,548.80/month)

Associates degree

Last Active

December 2nd, 2024 (yesterday)

Member Since

June 4th, 2021

Profile Description

I am working as Revenue Cycle Specialist for 7+ years



Services I can offer:

• Medical Coding

• Sending claims to insurance via clearinghouse and paper submission

• Eligibility and Benefits Verification,

• Account Receivable Follow Up and Denial Management,

• Obtaining claim status from payer portal or call

• Appeal Writing for disputed claims,

• Prior and Retro authorization request

• Applying payments to accounts from ERA/EOB/websites and also patient payments.

• Credentialing guidelines with payer

• Sending statement to patient for PR-1, 2, 3, 96, 119

• Patient calling for billing inquiries(Inbound and Outbound)



Core Skills And Competencies:

• HIPAA Compliance

• ICD-10 codes

• CPT codes

• HCPCS codes

• Medicare and Medicaid Guidelines through CMS



Software which I know:

Kareo

Epic

Waystar

AdvanceMD

SimplePractice

Office Ally

Emdeon

Pverify

Citrix




Insurance Portal I have used:

Availity

Navinet

NGS(Medicare)

Palmetto GBA(Medicare)

Noridian(Medicare)

United Healthcare

Cigna

My Aerial

Medi-cal

Passporthealth

and many more...

Top Skills

Experience: 5 - 10 years

Other Skills

Basic Information

Age
34
Gender
Male
Website
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Address
Pasig City, Metro Manila
Tests Taken
IQ
Score:  119
DISC
Dominance: 37%
Influence: 23%
Steadiness: 35%
Compliance: 5%
English
C2(Advanced/Mastery)
Government ID
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