Medical Billing Insurance

SKILLS:

ADDITIONAL SKILLS:

Proficient in Microsoft Word, Excel, Outlook, and Access.

Typing speed of 68 wpm.

Tech savvy with the ability to quickly learn new software and hardware attributes.

Professionally personality suitable for direct customer relations.

WORK HISTORY:

SIMPLEXMED

Manager Medical Billing Services // Abbottabad, KPK // January 2018 to current responsible for the billing processes in an office and are mainly in charge of recruiting and training staff, assigning tasks, and implementing quality assurance processes and billing systems.

Worked to facilitate individual and team development that drove positive results.

Maintained a good working relationship with other physicians, hospital administrators and medical records directors.

Created reports analyzing all receivables to ensure accurate receipt of payments.

Analyze billing reports to rectify discrepancies with various insurance managers ensured services/supplies were billed timely and appropriately and rejection/errors researched and resolved to meet timely filing deadlines.

Managed front desk patient operations and resolved billing issues submitted electronic claims to Medicare and CSC (Medicaid). Posted insurance payments to patient accounts charged with patients collections and re-billing various insurance companies; formulated appeal letters instrumental in setting up two new billing locations, trained new staff, writing office policies, software updates, phone system, and work station installations created and implemented a billing and instructional manual for new employees.

Personally assisted and worked closely with doctors on a daily basis to ensure smooth flow of daily operations and patient satisfaction as well as opened and closed office and organized front desk schedule.

Managed all out going claims to various insurance companies as well as any resubmission and follow up when necessary. Highly knowledgeable on workers compensation as well as no fault claims. Maintained ongoing daily operation of front desk such as billing, diagnosis entry and data entry by using procedure codes and modifiers.

Monitored all accounts receivable functions – insurance collection calls, follow up on denials and any open balances and ensured accuracy of all expense balances.

SIMPLEXMED:

Supervisor medical billing // Abbottabad, KPK // January 2017 to December 2017 oversee daily billing department functions, including medical coding, charge entry, claims, payment posting, and reimbursement management.

Accurately input procedure and diagnosis codes into billing software to generate invoices. Used electronic charge capture practices such as billing and account receivable (BAR) system and medical billing clearinghouse accounts to submit codes and invoices on time. Follow up on past due invoices and delinquent accounts to reduce number of unpaid and outstanding balances.

Document patient data and medical records, and perform routine medical record audits to comply with insurance company requirements.

Uphold and reinforce compliance with hospital policies and federal regulation such as HIPAA.

XONICS BPO:

Account Manager//Rawalpindi, Punjab//January 2015 to December 2016

Collected information about delinquent accounts and contacted customers to provide them with information on how to pay them back.

Reviewed patients’ bills for accuracy and attempted to collect missing information.

Followed up on unpaid claims with insurance companies and determined reasons for non-payments.

Determined reasons for denied claims by interviewing insurance company representatives over the telephone.

Checked insurance payments to ensure that they are in compliance with contract discounts.

Handled discrepancies in payments by investigating causes and making allowances for mistakes.

Respond to patients’ information regarding billing services and denials.

SEQUELMED:

Medical Billing Specialist// Melville, NY //August 2011 to November 2014

Maintained the highest levels of accuracy and patient confidentially quick identified and resolved medical billing, coding and insurance discrepancies responsible for cash management, supply ordering, and customer services relations reviewed patient bills for accuracy and completeness, and obtained any missing information.

Followed the guidelines and be in compliance with local, state or federal laws and regulations.

Reviewed accounts for possible assignment and made recommendations to the billing supervisor, also prepared information for the collection agency.

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