Edgar

Certified Medical Biller/ Account Supervisor

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Overview

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

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

Bachelors degree

Last Active

February 15th, 2025 (2 days ago)

Member Since

July 11th, 2024

Profile Description

Hello,

I'm Upgrade to see actual info Upgrade to see actual info Jr, EJ for short. I have 5 Years experience in Medical Billing and Coding and 3 Years as an Account Supervisor for Medical Records and Data Entry Specialist.

As a Medical Biller and Coder, I have extensive knowledge in US Healthcare Industry and I do end-to-end process for the whole Revenue Cycle Management. 
I have a solid understanding of medical coding systems, including ICD-10 (International Classification of Diseases)  and CPT (Current Procedural Terminology).

I am  proficient in Medical Billing Software that is used to specialize and manage patient's demographic, submit claims, track payments, and generate reports that is essential for efficient and accurate billing processes.

I am also well versed in navigating electronic health records (EHR) systems such as AdvancedMD, Office Ally, Athena, ECW and more.

I am also HIPPAA certified with my experience in medical records retrieval and data entry as an account supervisor upholding positive attitude in terms of delivering results and client expectations.

I have been exposed to most of the areas in Patient and Insurance Billing such as :
1. Managing Patient Account and demographic which includes registration and appointment scheduling.
2. Verifying patient eligibility and benefits and identifying of correct payers
3. Creating Claims from EMR or Superbills
4. Clearing house rejections, denials from insurance, checking EOB's, following up on claims status and appeal disputes.
5. Payment Posting from insurances and patient and dealing with Zero-Paid EOB's
6. Following-up Account Receivables which includes insurance phone calls.
7. Registering provider tools such as Availity, Navinet, UHC-Link, Optum, etc.
8. Interpretation of patient EMR
9. Received phone calls from the Patient/Provider
10. Scheduling an Appointment.
11. Handled specialties such as Mental health and Substance Abuse, Physical Therapy, Chiropractic, Pain and Spine Management, Surgery, Family Medicine,  Orthopedic and Blood Draw.

I am looking for a full-time job where I can manifest my skills and experience.              

Top Skills

Experience: 5 - 10 years

Execute the end-to-end process of the Whole Revenue Cycle: Insurance Verification, Handling Denials, Submitting claims, Posting and collecting payments; well-versed in utilizing CRM's and medical billing platforms

Experience: 2 - 5 years

Certified Skills Development Trainer- developed curriculum and training materials necessary for the trainees to be equipped with the relevant product knowledge and skills.

Experience: 2 - 5 years

Represented the company to Clients in discussing business reviews and performance; Supervised and lead a team of Records Specialist and Data Entry to deliver results, meet clients' expectations and going beyond the key performance indicators- coupled with coaching and mentoring.

Other Skills

Basic Information

Age
29
Gender
Male
Website
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Address
Sibulan, Negros Oriental
Tests Taken
IQ
Score:  94
DISC
Dominance: 28%
Influence: 35%
Steadiness: 27%
Compliance: 35%
English
C2(Advanced/Mastery)
Government ID
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