Medical Biller | RCM Specialist | HIPAA Compliance

Prepare and submit accurate medical claims to insurance companies, government payers, and patients. Coding: Review and assign proper medical codes (CPT, ICD-10, HCPCS) for services rendered, ensuring compliance with all coding guidelines. Payment Posting: Accurately post payments and adjustments to patient accounts, reconciling any discrepancies. Insurance Follow-up: Communicate with insurance companies to resolve billing issues, appeals, and denials. Patient Communication: Provide excellent customer service by addressing patient billing inquiries and concerns and collecting patient payments. Documentation: Maintain accurate and detailed records of billing activities, adjustments, and communications.

Account Receivables Management: Monitor accounts, follow up on unpaid claims, and resolve any issues related to outstanding balances. Check Staus of submitted claims and follow up on unpaid or underpaid claims. Review and Analyze Denied Claims to determine the cause of Denial. Prepare and possibly submit a corrected claim. Follow up on a resubmitted claim. Reconcile Visit to ensure payment match to the claim submitted and resolved any Discrepancies.

Making Outbound calls / Cold calling

Receive calls and provide customer support

With a strong foundation in Customer Support and Sales Support, I’ve honed skills in managing client inquiries, resolving issues efficiently, and supporting sales initiatives to ensure customer satisfaction and retention. This experience has helped me develop effective communication, problem-solving, and relationship-building abilities that drive positive client experiences and contribute to achieving sales goals

With experience in Customer Support and Email Marketing, I’ve effectively handled customer inquiries, provided solutions, and crafted engaging email campaigns that drive customer interaction and support sales initiatives.