Medical Biller Specialist, CRM, A/R Management Specialist

Using EHRs/A/R tools : TEBRA, AVAILITY, Athena Health , RCA to ensure efficient and accurate management of medical claims, payments and accounts receivable.

I am working on claims and different denials and rejections, review EOBs, post payments, work on authorization, and insurance verification. Experience in different EHRs/EMRs : DrChrono, Office Ally, Prompt, Tebra, Athena Greenway Intergy, Availity

Helping healthcare providers generate maximum medical claims payment through my accurate revenue cycle management analysis strategies.

Experienced in Patient Data Entry, Review patients records, enter patients charges to system, verify billing information, resolve errors, assign accurate codes and maintain accurate records.

Providing exceptional customer service to patients, healthcare providers and insurance companies, addressing inquiries, resolving issues and ensuring satisfaction.

Submit PA request to insurance companies electronically or via phone calls. Confirms patients insurance coverage and eligibility. Monitor and follow up pending PAs, appeal denied PA request and provide additional documents as needed. Collaborate with healthcare providers to gather information and clarify treatment plans.

Identify, analyze and resolve denied medical claims, ensuring maximum reimbursement and minimizing revenue loss. Knowledgeable in different EHRs/EMRs : DrChrono, Office Ally, Prompt, Tebra, Athena, Greenway Intergy

CERTIFIED HIPPA TRAINED