Shakeel Ahmed

Email: ad2lx1@r.postjobfree.com

Contact # 347-***-****

MEDICAL BILLING & CODING with Credentialing.

I am an experienced Medical Billing Coding Specialist with over 8+ years’ experience working on US Healthcare and Customer Service industry. Nowadays, I am working at home and virtually offer my services to US healthcare industry. I have worked in the following fields of medical billing:

• Patient Demographics & Insurance benefits verification

• Review medical record & Claim submission

• EOB/ERA Payment posting & refunds payments issues

• Monthly check balancing and closing

• HCFA1500 printing and billing

• Insurance eligibility & benefits verification

• Follow-up with insurance companies for denied claims,

• Credentialing

I also have expertise in submitting appeals, adjustment void forms & re-determination letters, & have complete understanding of how to get claims corrected or updated through insurance calls.

I am aware of LCD, NCD, LMRP and all billing terms, clearing house, insurance behaviors & HIPAA compliance.

Medical Billing software I worked on are

• Office ally

• Kareo

• SequelMed

• Intergy

• Carecloud.

• AthenaHealth

• ClaimMD

Clearing house I have worked with are:

GatewayEDI

Emdeon

Availity

KEY ADMINISTRATION SKILLS

• ICD-10 & CPT Coding

• Medical Terminology

• Medical Billing & Reimbursement

• HCPCS Level II Coding

• Medical Insurance

• Claim Appeals

• Anatomy & Physiology

• Online & Paper Claim Submission

• HIPAA Compliant

• MS Office

• Medical Software

• Patient Needs Management

• Payment Posting

• Medical Manager

• Administrative Support

Professional Experience:

Currently work ” from Home on Remote jobs (2018 – present )

oReview medical record & Claim submission

oPatient Demographics & Insurance benefits verification

oEOB/ERA Payment posting & refunds payments issues

oMonthly check balancing and closing

oHCFA1500 printing and billing

oInsurance eligibility & benefits verification

oFollow-up with insurance companies for denied claims,

oCredentialing

A/R Specialist at “Claim Care ” (2016 - 2017)

oWorking on Aging & Rebilling of Oncology practice (through IVR, insurance calling & websites of various insurance)

oMaintaining the records of medically insured people in USA, entering physicians charges and posting EOBs

oCoordinating with the physicians and insurance companies in United States Of America regarding payment issues through telephone calls

oOrganizing & training my available human resources

oUpdating client about daily work progress, and billing or general issues with resolutions of problems

oInsurance Eligibility & Benefits verification

Medical Biller at “Medcare MSO” (2014 - 2015)

oMaintaining the records of medically insured people in USA, Scheduling Pt’s, entering physicians charges and posting EOBs

oElectronic Billing to clearing house

oPaper and online claim filling

HOBBIES

Reading Books, Listening Music, Playing Base ball

Contact this candidate