As a certified medical biller specializing in HIPAA compliance, I ensure precise and confidential management of healthcare billing. Recently, I handled complex medical claims for a specialized clinic, prioritizing strict adherence to HIPAA guidelines. This involved meticulous review of patient records, accurate coding of diagnoses and procedures, and effective communication with insurers to expedite claims while maintaining confidentiality.
Skills:
* Revenue Cycle Management
* Accounts Receivable Follow-Up
* Medical Claims Management
* Patient Data Entry and Management
* Insurance Verification
* Billing, Payment Posting
* Charge Entry
* Denial Management and Appeals
* Patient Billing and Collection
* Compliance and Regulation-HIPPA Certified
* Proficient in EHR, Billing Software Prompt, Medical Portal
Experience: Less than 6 months
Experience: 2 - 5 years
Experience: 1 - 2 years
Insurance Claims: Submitting claims electronically or by mail to insurance companies. This involves understanding various insurance policies, procedures, and requirements for claim submission. Follow-Up: Monitoring unpaid claims and following up with insurance companies or patients to resolve issues, such as claim denials, incorrect payments, or lack of response. Payments and Reimbursements: Posting payments received from insurance companies or patients into the billing system. Ensuring payments match billed amounts and resolving discrepancies. Patient Billing: Generating patient statements, reviewing outstanding balances, and answering patient inquiries regarding their bills or insurance coverage. Compliance: Adhering to healthcare regulations and guidelines, such as HIPAA, to ensure patient information confidentiality and accurate billing practices. Software Proficiency: Using medical billing software to input data, generate reports, and track billing and payment activities efficiently.
Experience: 1 - 2 years
Patient Registration and Insurance Verification Charge Capture Claim Submission Insurance Follow-Up Patient Billing and Follow-Up Payment Posting and Reconciliation Denial Management
Experience: 1 - 2 years
Navigating EMR Systems Data Entry and Documentation Order Entry and Management Patient Scheduling and Coordination Billing and Coding Integration
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