Having more than 14 years working experience in the field of Medical Billing and processing of all tasks relating to Medical billing such as claim processing, payments posting and Practice Management and analysis etc
Manage and supervise the day-to-day operations of Medical Billing Team.
Responsible for managing attrition and absenteeism in the team.
Answer questions and resolve problems regarding medical billing activities.
Critical Analysis of team members output and guides them to improve accuracy.
Assisting development team for new clients setup by verifying codes, Cost and insurances.
Training of new resources.
Verifying the clearing house Claims report from web portal and following up on rejected Claims.
Communicate with the Providers office to resolve incomplete charges or missing information required to submit a claim.
Review Insurance and patient Accounts Receivable and Provide Solution to Practice Lead on Denied Claims.
Work closely with the Accounts Receivable and Client Services teams to ensure that billing defects are resolved in a timely manner that results in prompt collections ability.
Conduct meetings with team and team members one to one to improve quality and quantity of work.
Create reports to keep company update about teams progress and performance.
Preparing Weekly, Monthly, Yearly and analysis reports
• Manage and supervise the day-to-day operations of Medical Billing Team.
• Responsible for managing attrition and absenteeism in the team.
• Answer questions and resolve problems regarding medical billing activities.
• Critical Analysis of team member’s output and guides them to improve accuracy.
• Assisting development team for new client’s setup by verifying codes, Cost and insurances.
• Training of new resources.
• Verifying the clearing house Claims report from web portal and following up on rejected Claims.
• Communicate with the Provider’s office to resolve incomplete charges or missing information required to submit a claim.
• Review Insurance and patient Accounts Receivable and Provide Solution to Practice Lead on Denied Claims.
• Work closely with the Accounts Receivable team to ensure that billing defects are resolved in a timely manner that results in prompt collections ability.
• Conduct meetings with team and team members one to one to improve quality and quantity of work.
• Create reports to keep company update about team’s progress and performance.
• Any other task assign by COO.
• Filing Medical Claims to insurance within time and with optimal accuracy.
• Posting insurance/Patients payments.
• Analyze denied/rejected claims by payer & clearing house and resubmit after correction.
• Prepare patients’ billing statements and ensure that they are sent to them in a timely manner.
• Review patients’ billing statements to ensure accuracy of information.
• Follow up on Insurance and Patient balance and provide report to A/R team.
• Re-submission of denied claims and appeal of denied claims, as required.
• Verification of work done by junior team members for quality assurance purpose.
• Assisting team lead for new client’s setup by verifying codes, cost and insurances.
• Communicating system requirements with team Lead.
• Verification of system’s enhancement regarding Medical billing.
• Any other task assign by Team Leader.
• Receive and review charge documents from the clients.
• Entering Demographics and Charges.
• Appending appropriate modifiers, verifying authorization and correct coding initiative (CCI) payer’s specifics.
• Verification of Insurance Coverage & Claim Submission.
• Payment posting & Reconciliation with detail received.