Rudilyn

MEDICAL BILLER I AR AND RCM SPECIALIST I CIVIL ENGINEER

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Overview

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

at $7.00/hour ($1,232.00/month)

Bachelors degree

Last Active

November 22nd, 2024 (4 days ago)

Member Since

February 9th, 2024

Profile Description

Are you looking for a skilled and experienced medical biller?


Look no further! With over 3 years of experience in this field, I have the knowledge and expertise to help you achieve your goals. I excel in optimizing revenue cycles and ensuring compliance with industry standards.

Why Hire Me?

Proven Results: Established a history of enhancing revenue cycles and maximizing reimbursements.

Comprehensive Expertise: In-depth knowledge of billing for physical therapy, home healthcare, and mental health billing.

HIPAA Compliance: Regular training to ensure full compliance with regulations.

Knowledge of Insurance Policies: Understanding of insurance policies and procedures to navigate complex claims effectively.

Efficiency and Adaptability: Quick learner with a proactive approach to problem-solving.

Client-focused: Committed to providing exceptional service with accuracy and professionalism.

SKILLS

Commitment to Excellence: Dedicated to consistently delivering high-quality work within deadlines, ensuring that all tasks meet or exceed expectations.

Professionalism: Uphold the highest standards of conduct and efficiency in all tasks, fostering trust and respect among colleagues and clients.

Critical Thinking: Skilled in problem-solving and adapting to fast-paced, dynamic environment, enabling effective decision-making under pressure.

Organizational Expertise: Proficient in independently managing workflows, prioritizing tasks, and streamlining processes to optimize productivity.
 
Precision and Accuracy: Strong attention to detail, ensuring data integrity and accuracy in all billing processes, which minimizes errors and enhances efficiency.

Team Collaboration: Ability to work well within a team, contributing positively to group dynamics and achieving collective goals.

Adaptability and Quick Learner: Quick to grasp new concepts and technologies, with the flexibility to adapt to industry changes and new software applications.

Duties and Responsibilities as a Medical Biller/AR Specialist

Client Communication: Proficient in addressing billing inquiries and managing patient
communications.

Transaction Management: Expert in inaccurate charge and payment posting, skilled in claims processing and denial management.

Revenue Cycle Management: Experienced in managing the full billing cycle, including charge entry, claims submission, payment posting, and follow-up for maximum 
reimbursements.

Accounts Receivable Management: Specialized in tracking outstanding balances, resolving unpaid claims, and ensuring timely collections.

Financial Analysis and Reporting: Competent in reviewing EOBs, preparing financial reports, and optimizing financial outcomes.

Data Accuracy: Ensure patient records and billing data are current and error-free, maintaining thorough documentation.

Eligibility Verifications: Verify insurance coverage to avoid claim rejections and streamline appointment billing.

Denial Management and Appeals: Proficient in identifying denials, researching causes, and submitting appeals for payment recovery.

Appointment Billing: Efficiently invoice clients with confirmed appointments to streamline billing processes.

Issue Resolution: Review remittances and promptly escalate any identified issues for swift resolution.

HIPAA Compliance: Recently renewed HIPAA compliance training to ensure accurate adherence to regulations.

Systems/Applications:

I am knowledgeable in different EMRs and EHRs such as Dr. Chrono, Office Ally, Prompt, Tebra, ChiroTouch, and Practice Fusion. I worked with different payers, so I am familiar with different payer portals such as Availity, United Healthcare, Bluecross Blueshield, Optum, Noridian, Cigna, Ashlink, Medicare, and Medicaid.

Project Management / Applications: Trello, Upgrade to see actual info, MS Office, Google Workspace, Adobe Photoshop, and Canva

With my skills, knowledge, and experience, I believe I can be an excellent asset to any growing company.

Top Skills

Experience: Less than 6 months

Experience: Less than 6 months

As a Civil Engineer, I estimate costs for budgeting, supervise on-site construction, and maintain safety protocols. I collaborate with teams to ensure timely project delivery and develop innovative solutions for engineering challenges. I conduct site investigation, build relationships with stakeholders, and optimize construction schedules. My strong communication skills support project and business development.

As a medical biller, I work mostly on claims submission and charge entries, claim rejection and denials, research and follow up on unpaid claims to insurance companies, review remits and EOBs, and perform posting charges, all while adhering to HIPAA regulations. In my previous job I am responsible for the timely follow-up and collection of medical claims, and the reimbursement from various insurance companies such as Medicare, Medicaid, Aetna, and other commercial payers. I manage and resolve denials and outstanding A/R and call insurances when necessary to determine the reason for the denial and provide solution. I am knowledgeable in different EMR/EHR such as Dr. Chrono, Office Ally, Prompt, Tebra, and Practice Fusion. I worked with different payers, so I am familiar with different payer portals such as Availity, United Healthcare, Medicare, and Medicaid.

Other Skills

Basic Information

Age
33
Gender
Female
Website
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Address
Davao City, Davao del sur
Tests Taken
DISC
Dominance: 0
Influence: 0
Steadiness: 0
Compliance: 0
Government ID
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“I can find little blocks of time to focus so we can scale this business.”

Clearman Lawyers

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