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Medical Billing Insurance

Location:
Hyderabad, AP, 500039, India
Salary:
18000
Posted:
June 29, 2012

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Resume:

CURRICULUM VITAE

Beeraiah.G

H.No:*-**

Kolanguda

Ranga Reddy

Mobile: 903-***-****

E-mail: z3tvcx@r.postjobfree.com

Career Objective:

Seeking Challenging career in US Medical Billing Services or IT Enabled Industry or Back Office Processing where knowledge and skills can effectively be utilized which will enable me to contribute constructively towards the set goals of the Organization.

PROFILE SUMMARY

Around 9 months of experience in medical Billing, working successfully with US Doctors as well as Lawyers with excellent Interpersonal and Team building Skills.

EDUCATIONAL QUALIFICATIONS

Bachelor of Technology (Electrical and Electronics Engineering)

TECHINICAL QUALIFICATIONS

Type Writing (English) Higher. (35WPM)

COMPUTER SKILLS:

Packages : Ms-Office

Environment : Ms-Dos, Windows 95/98 and 2000.

EXPERIENCE SUMMARY

NOBIS SOFT, HYDERABAD. (From Oct 2011 till date)

Presently Working in MD Manage for Medical Billing and Claims Processing.

Experience in Patient Entry, Charge Entry, Cash Posting, and Claims Processing department.

Project experience:-

Practice Neuromechanical pain management and Total care physical therapy, North Jersey Diagnostic and pain Management.

Practice Type Chiropractic and Painmanagement

Duration Oct 2011 – Till date

Roles & Responsibilities Entering New Patient details, Charges, Pre-certifications and EOBs, Pre-certification conformations.

Software Environment Windows XP, Perfect Care Application and MS Office.

Project Description When any patient enters into a hospital for treatment Doctor will gather all his demographical and insurance details and he will send that details to us through pdfs. After receiving that information we will start the process like entering all Patient details, DMS, Verification, Pre-certification, Billing and EOBs in the application.

EXPERIENCE IN MEDICAL CLAIMS PROCESSING

Worked as a medical billing analyst

PHCS (Private Health Care System): To check manually, Provider Name and Federal Tax ID’s for the non-repriced claims and try to repriced that claims, otherwise we assigned a various types of Transmittal & Disposition Codes to that claims.

Verification: It includes verify all the data, which is in the HCFA & UB92 Forms and process the claims with error free.

KFI (Key Form Image): Entered all the details of HCFA & UB92, while seeing Key Form Image on the screen into fields.

QC (Quality Check): Checking the Patient details, Provider names, Facility Name details, and Billing Name details.

Experience in Medical Billing

Nine months experience in Medical Billing with exposure in perfect care Software at MD Manage Pvt Ltd.

I have knowledge about U.S. Healthcare Insurance’s PIP insurances and major med insurances

I am familiar with Insurance Carriers Billing, which includes Federal and

Commercial Insurance Carriers.

Exposure on Software’s:

1. Medisoft (Version 10.0)

2. perfect care (version 2.10.2

PERSONAL PROFILE

Name : Beeraiah.G

DOB : 15-05-1988

Father’s Name : MALLAIAH

Strengths : Hardworking, Leadership, Sincerity,

Contact Phone : 903-***-****

Languages Known : English, Hindi, and Telugu

Marital Status : Unmarried.

DECLARATION

I hereby declare that the above-mentioned details are true to the best of my knowledge.

Thanking You Sir,

Yours faithfully,

Beeraiah.G.



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