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Insurance Verification Medical

Location:
Fairfax, VA
Posted:
December 01, 2023

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Resume:

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€ Inbox NV

Arozo Husseinkhel

Email: ad1mh2@r.postjobfree.com

Phone: 703-***-****

WORK EXPERIENCE

Virginia Medical Alliance Springfield, VA

Referral Cordinator/Billing Mar 2007 — Present

Solid understanding of medical insurance (including plan types and requirements, claims processing, authorizations, referrals,

insurance verification, and payor-specific rules for billing)

Familiarity with medical terminology, ICD 10, CPT, HCPCS codes, and billing modifiers

Familiarity with Microsoft Word, Excel and/or equivalent Google Workspace apps

Reviews claims for accuracy, completeness, and correct coding to reduce denials and facilitate prompt payment to our multi-

specialty, multi-site medical practice

Authorization MRI CT Scan, RX Medication, Chronic Care management

Resolve routine patient billing inquiries

Answer staff and provider questions related to billing

Review claims to ensure payor-specific billing requirements are met

Conduct insurance verification

Ensure that referrals get obtained when necessary

Participate in ongoing training and education to maintain current knowledge of billing and coding guidelines and insurance

regulations

Properly coding: services, procedures, diagnoses, and treatments

Submit electronic and paper claims to major insurance companies, including Medicaid to collect medical payments

Communicate with insurance providers to resolve resubmitted and denied claims

Create and double check charges before submitting to insurance to make sure visits have been coded correctly

Review billing problems, research issues and resolve concerns

Keep up to date with changes in coding and diagnostic procedures

Beaute Nest Nail & Beauty, Woodbridge VA Mar 2016— Dec 2022

Spa Manager

Overcoming objections during the sales process to increase the membership base.

Developing marketing strategies aimed at achieving revenue and profit maximization.

Conducting data analysis to drive business decisions and success.

Exercising good judgment, working independently, with minimal supervision.

Planning and directing to meet the daily operational needs.

Efficiently tracking employee schedules to optimize productivity, revenue, and profits.

Maintaining the maximum cleanliness and soothing atmosphere of the premises.

Ensuring high customer satisfaction, resolving customer dissatisfaction, and addressing service complaints.

Ensuring compliance with all Beaute Nest’s cultures, policies, and procedures, in addition to local, state, and

federal laws and regulations.

Hiring, training, supervising, developing, and mentoring all team members, following Beaute Nest’s culture,

policies, and procedures.

Motivating and empowering the team to achieve high standards.

Oversee the daily operations of the spa, ensuring smooth and efficient functioning.

Manage and supervise spa staff, including hiring, training, and scheduling.

Develop and implement spa policies and procedures to maintain high standards of service.

Monitor inventory levels and order supplies as needed.

Maintain a clean and organized spa environment.

Handle customer inquiries, complaints, and feedback in a professional and timely manner.

Coordinate with vendors and suppliers to ensure timely delivery of products and services.

Lead regular staff meetings to communicate updates, provide training, and address any issues or concerns.

EDUCATION

Lake Braddock HS Diploma

SKILLS

Software and Financial Systems: Proficiency in Microsoft Office (Microsoft Word, Advanced Excel, Power Point, Publisher)

Languages: Fluent in oral Dari

REFERENCES: Available upon request



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