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概要
Inputting and validating medical claims data and overseeing the use of proper documentation and coding on patients’ accounts. Skill at preparing and submitting clean claims to various insurance companies and performing regular follow-up. Very positive and proactive approach to get things done. Demonstrated good judgment and initiative to solve complex problems.
项目
工作经历
Quality Supervisor
• Conduct appropriate on Job training on different updates in the Medical Billing industry, Service Excellence and Teamwork to the Operations staff.
• Planning, Developing and implementation of procedures, control systems for maintaining service quality standards.
• Ensure profitability of operations and supervise different aspects of Medical Billing management including claim charges, claim submission, payment posting, follow up and reimbursement management.
• Handling operational functions like pre-shifts staff briefings, creating the duty roster, shift management.
• Assisted Senior Manager Operations with planning, programming and project management support to ensure all activities are executed in accordance with established means, methods and constraints.
• Organizing and conducting practical and theoretical training programs, to enhance skills and motivational levels.
• Coordinate planning, programming, and management to ensure Operations activities are executed in accordance and task schedules are completion on time.
• Participate and provide updates regarding operations in managerial meetings.
• Conduct interviews, hiring and employee orientation.
Account Executive and Data Management
Responsibilities:
• Identify and resolve patients’ billing problems and discrepancies
• Review accounts for possible assignment and made correlating recommendations to the billing supervisor
• Efficiently receive and sort incoming medical bills and invoices by paying special attention to credibility of information
• Examine medical debts and delinquent accounts status
• Ensure that appropriate follow up duties are effectively carried out
• Oversee the billing procedure to ensure timely preparing of bills and invoices
• Create & maintain an effective reporting system to provide clients & management with information on billing procedures and outcomes
Technological Skills:
• ICD – 9, ICD – 10 and CPTs
• Electronic medical billing
• Electronic and paper claims submission
• Download and importing ERA
• HCFA 1500 forms
• Practice Management.
Backup Team Lead
To perform Medical billing for offshore doctors.
To keep informed of all changes in the rules and regulations of insurance carriers
and regularly.
Update the Team Leader.
To Research / Analyze and prepare appeals when claims are rejected.
To Tele converse with insurance Companies for claim follow up.
To Tele converse with Clients (doctors) in USA.
