Medical Billing Specialist

Ability to provide support and guidance to patients and providers regarding claim statuses and billing questions.

As a dedicated Medical Claims Specialist, I bring a keen eye for detail and extensive knowledge of the healthcare claims process. With over 4 years of experience in verifying, processing, and resolving medical claims, I ensure accuracy and compliance with industry regulations. Exceptional ability to scrutinize documentation, coding, and billing information to avoid errors and denials.

Understanding of healthcare regulations (such as HIPAA) and payer-specific requirements to maintain compliance in claims submissions.

Skilled in entering large volumes of data accurately and efficiently while maintaining organized records.

Proficient in reviewing and processing medical claims accurately to ensure timely reimbursement.

Strong analytical abilities to identify discrepancies, investigate issues, and implement effective solutions.

Familiarity with ICD-10, CPT, and HCPCS coding systems to ensure correct coding of diagnoses and procedures.

Excellent verbal and written communication for liaising with healthcare providers, insurers, and patients to resolve claims-related inquiries.