In a fundamental way, the medical billing and coding specialist helps prevent our health care system from grinding to a bureaucratic halt! Through their work creating detailed billing records and efficiently coded invoices, these specialists ensure that the business side of health care does not obstruct the vital medical care that patients need. Without the contributions of the billing and coding specialists, neither doctors nor insurance companies could properly provide their services to patients.
Setup EHR/PM for clients/Providers.
Labs integration.
eRx setup.
HL7 immunization setup.
Apply PQRS incentives for clients.
Meaningful use implementation.
Data Migration (Patient data & Clinical data)
Schedule EHR/PM training sessions for clients.
Insurances credentialing & contracting.
Aging reports analysis.
Billing resolutions & concerns management.
Patient Support Desk management and services.
Daily/Weekly/Monthly reporting.
Deal with all clients over the phone or emails and provide them quick and effective response on their queries.
Analyze the cash flow of clients.
Trouble shoot all hurdles regarding claims.
Arrange meeting with client on weekly basis and discuss over all matters.
Always try to maintain a pleasant and professional relation with clients.
Setup EHR/PM for clients/Providers.
Insurances credentialing & contracting.
Aging reports analysis.
Billing resolutions & concerns management.
Patient Support Desk management and services.
Daily/Weekly/Monthly reporting.
Deal with all clients over the phone or emails and provide them quick and effective response on their queries.
Analyze the cash flow of clients.
Trouble shoots all hurdles regarding claims.
Arrange meeting with client on weekly basis and discuss over all matters.
Always try to maintain a pleasant and professional relation with clients.
Ensure quality of entered data.
Check patients Insurance policy information using insurance web portals
and by calling insurance Customer Service lines.
Call doctor office to check patient insurance information.
Manage work for Coding Team.
Assign Duties and resolve their issues regarding Billing Posting and Collection of the payment from Medical
insurance companies
Take review of my team daily performance to expedite performance as well as quality of the work.
Call insurance companies in USA and getting claims status over the Phone.
Call insurance companies for the confirmation of the payments and to fix issues over the Phone with customer
service staff of the Medical insurance company’s .Etc.
Work on Denied EOB (explanations of Benefits).
Coordinate with American office staff to get things done in timely manners
Work on rejections received after electronic claim submission.
Fix all rejected claims through clearing house.
Call patients.
To maintain quality and quantity of work according to clients/doctors requirement.
Site Survey
Create proposal drawing sites after surveying to get approval from MAXIS BROADBAND SDN BHD on behalf of Saluran
Cekap Sdn Bhd.
Prepare complete costing of proposal and final installation.
Inspect sites after installation.
Report to our head office and MAXIS BROADBAND SDN BHD.
My sole obligation was to enroll doctors with insurances and hospitals.
Maintain all doctors particulars properly with insurances and hospitals.
Make sure that all doctors are credentialed with insurances and there information is correct and complete.
Collection of EOB (explanation of benefits).
Post all EOB under particular doctor’s account.
Make sure all the doctors can easily collect their money from insurances and hospitals.
Make all payments directly transfer to doctor’s account from insurances and hospitals.
Prepare monthly financial report and forward to doctors accordingly.
Take of our aging report trouble shooters if they need any doctor’s information to get status on claims sent to
insurances and hospitals.
Follow up every day with insurances and hospitals to maintain doctor’s status.