Medical Billing and Collections Specialist / AR Specialist

Overview

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

at $4.55/hour ($799.99/month)

College Graduate

Last Active

December 22nd, 2024 (today)

Member Since

January 11th, 2022

Profile Description

I have 8 years of experience in the Healthcare Industry. I started as a Medical Biller in 2016, where I managed billing processes for diverse medical settings including office visits, family practice, hospitals, urgent care, and family pact for 4 years. Year 2020, I was hired as a Medical Billing and Collections Specialist in Phoenix Virtual Solutions for 2 years, specialized in processing and managing COVID-19 related claims. Then, I transitioned as an Accounts Receivable Specialist with the same company, and my roles are:

- to verify the patient's insurance coverage and benefits through portal and call
-  oversee the timely submission of electronic and paper claims,
-  address and resolve unprocessed claims by following up to ensure appropriate resolution
-  and manage daily denials and rejections, working on resubmission, appeals, or adjustments as necessary.

SKILLS/ AREA OF EXPERTISE
-  Insurance Verification
-  Data Entry
- Claims Processing
- Denial Management
-  Payment Posting (EOB & ERA)
- Claims Follow-Up
- Time Management
-  Adaptability
-  Attention to detail
-  HIPAA Trained
- Knowledge of CPT and ICD-9/10 codes
-  Familiarity with the end-to-end process of Revenue Cycle Management

TOOLS
-  Kareo, Xifin, EClinicalWorks, Athena and Practice Fusion
-  Insurance Portals (Availity, Noridian, Medi-cal, BCBS, Kaiser, HealthNet, L.A Care, UHC (OPTUM), Cigna, Trizetto, SCAN, and Medpoint Management)
-  Google sheet, Gmail, Google drive, Dropbox
- MS office
- ??Skype, Zoom, Teams, Ring Central