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خلاصہ
I have worked as a Medical Biller and Denials Specialist in US Medical Billing healthcare companies.
I have worked for 2+ years in a US Healthcare Business. From a Medical billing specialist, Account Receivable, EDI Analyst to Management level had almost performed all the tasks related to Medical billing such as Claim Entry, Claim Submission, Claim Follow up, Denial Management, Payment posting, ICD-10, Talk-HER, Insurance Calling, patient Calling, Web portals, Appeals, EMR, ERA, Claim Status.
I was Director of Operations in a Medical Billing company globally known as MTBC (care cloud).
My job was to look after different teams working on different task such as Charge posting, Payment posting, Denial management, AR, follow up of backlogged claims, Calling to different insurances for claim status, Medical Records, Eligibility and Benefits, Coverage Criteria.
I have worked on Different Practices / Facilities / Hospitals such as Brooklyn Dental Services, Brooklyn Radiology services, King Physicians Services, Montefiore New Rochelle, Womens Wellness Center, Skilled Nursing and rehabilitation center, FOX rehabilitation center, Fullerton Radiology Services.
MEDICAL BILLING SERVICES
- Eligibility & Benefits verification.
- Appointments Scheduling.
- Credentialing guidelines with payers.
- Patient Demographics and Charge entry.
- Insurance claims submission via clearinghouse and Paper submission.
- Accounts receivable and Denial management.
- Payment Posting.
- Claims Follow up on denials from insurances like Medicare, Medicaid, BCBS, Managed care, and Commercial Insurances (Aetna, BCBS, Cigna, UHC, Oxford, Dentaquest, Emblem Health, GHI, HIP, Healthplex, Health First, Fidelis Care etc...)
