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خلاصہ
Skills
All aspects of medical billing including coding, charge entry, transmission, correction and resubmission as required, posting of payments including patient/mail and ERA.
Established guidelines for proper coding/billing for providers.
Worked hand in hand with front office staff to ensure that the proper information was received for claims processing.
Oversaw and ran necessary reports to ensure that all statuses were worked in a timely manner and helped in any capacity necessary.
Maintained and updated all files including insurance companies, diagnosis, procedure, fees/profiles.
Ran, processed and ensured accuracy of patient statements on a bi-monthly basis.
Worked collections which included mailing of correspondence, working with patients to establish promissory notes for payment and if necessary forwarded accounts to collection agency.
Responsible for following up on claims, calling and collecting money from insurance companies.
Resolved billing issues identified by insurance carriers and patients.
Reviewed claim denials and payer requirements for corrective action and prevention in the future.
Researched and replied in a timely manner to insurance, patient, and internal customer inquiries.
Kept accurate records of all activity and conversations for each file.
Submitted detailed claims to insurance companies for several practicing health care providers
Maintained the highest levels of accuracy and patient confidentiality
Quickly identified and resolved medical billing, coding and insurance discrepancies
Responsible for cash management, supply ordering, and customer service relations
Reviewed patient bills for accuracy and completeness, and obtained any missing information
Followed the guidelines and be in compliance with local, state or federal laws and regulations
Reviewed accounts for possible assignment and made recommendations to the Billing Supervisor, also prepared information for the collection agency
پراجیکٹس
تجربہ
RCM
Worked as complete RCM services for different clients.
Customer Service And Medical Biller
Worked as Medical biller AR specialist on multiple specialities.
SQA
Performed functional, regression, end-to-end and acceptance testing.
Gathered requirements from Business Analyst and analyzed them for testing perspective.
Developed and executed test cases and test suites.
Maintained and updated test documentation between releases.
Performed cross browser testing to verify functionality of web applications.
Wrote and executed SQL queries to perform the back-end testing in the driver information database.
Participated in standup meetings and other required QA meetings such as test planning, retrospective, QA status and update meetings.
Reviewed Business Requirement Documents and the Technical Specification.
Developed test plans, test cases based on functional specifications and design documents.
Maintained requirements and created Traceability between Requirements and Test Cases.
Validated the data by using SQL queries extensively.
Performed regression, integration, platform and performance testing to certify the stability and usability of software systems.
Developed and executed test programs that helps improve accuracy of QA results.
Provided comprehensive software release documentation and training support staff after compiling QA test outcomes.
Performed System testing, regression testing and integration testing for new and ongoing releases
Supported project go lives by performing smoke testing in production environment
Helped business users in their UAT testing
Helped the team in setting up test bed and test data
Collaborate with other testers, managers, developers in agile testing.
Build test case specification based on user case.
Extend test coverage.
Perform acceptance, regression, sanity, and functional/performance testing using automated and manual methods
Setup test-driving data and test preconditions for automation script
Write automation script for functional testing
Write script to generate performance testing reports
Analyze data of performance testing results
