Roselle

MEDICAL BILLER SPECIALIST I RCM SPECIALIST I A/R SPECIALIST|

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Overview

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

at $10.00/hour ($1,760.00/month)

Bachelor's Degree

Last Active

November 21st, 2024 (today)

Member Since

May 26th, 2022

Profile Description

• Perform posting charges.• Make sure the patient’s medical records are current and accurate.• Do charge entry, claim submission, A/R follow up, denial management, etc.• Perform the completion of claims to payers.• Perform tasks in a timely and professional manner.• Send billing information to the relevant insurance companies.• Process claims and resolve denials to ensure maximum. • Follow up unpaid claims to appropriate parties/payers.• Review remits and payer correspondence and escalate any identified issues to appropriate areas for  review and response to expedite claim resolution.• Insurance verification authorization and appeals.• Do outbound to different insurances to get benefits and eligibility.• Utilize insurance portals/websites to check eligibility and benefits.• Document the valuable information on the form provided.• Ensuring services comply with state and federal regulatory requirements.• Conduct teaUpgrade to see actual infoetings for necessary updates.• Do supervisory call if needed.??Tools - emr/ehr such as Tebra,  Prompt, Office Ally, Athena??Payer portals such as Availity, Navinet, Novitasphere, UHC??tasks as a med biller- charge entry, claims submission, payment posting, AR followups Please view link for my CV: Upgrade to see actual info

Top Skills

Experience: Less than 6 months

My task primarily is to ensure that claims are submitted on time and that chronic errors were addressed to avoid claim denials. I am responsible for timely follow-up and collection of medical claims, and the reimbursement of claims from various insurance companies such as Medicare, Medicaid, Aetna, and other commercial payers.

Experience: Less than 6 months

I work mostly on claims submission and charge entries, claim rejections and denials, research and follow up on unpaid claims to insurance companies, review remits and EOBs, and I perform posting charges. That's what I'm really good at.

Experience: Less than 6 months

I am knowledgeable in different EMRs and EHR's such as Office Ally, Dr. Chrono, Kareo, AthenaOne and Prompt. I worked with different payers so I am familiar with different payer portals such as Availity, United Healthcare, Navinet, Medicare, and Medicaid.

Other Skills

Experience: Less than 6 months

I manage and resolve denials and outstanding A/R and call insurances when necessary to determine the reason for the denial and provide solution.

Experience: 5 - 10 years

I perform at my best and this role required attention to detail which I religiously perform

Basic Information

Age
24
Gender
Female
Website
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Address
Davao City, Davao del Sur
Tests Taken
DISC
Dominance: 0
Influence: 0
Steadiness: 0
Compliance: 0
English
C2(Advanced/Mastery)
Government ID
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