Medical Billing, Insurance Verification, and Coding Specialist | 13 Years of Experience
With nearly 13 years of hands-on experience in the healthcare revenue cycle, I specialize in insurance verification, medical billing, coding, and payment posting. I’ve worked with various specialties including Ophthalmology, Neurology, Cardiology, Internal Medicine, Chiropractic, Plastic Surgery, ENT, and more.
Insurance Verification / Pre-Collections
Skilled in skip tracing, verifying commercial, PI, and WC insurance coverage
Experienced in confirming claim status, injured body parts, and authorizations
Proficient in investigating CPT-related denials and resolving claim issues
Medical Billing & Coding
Deep working knowledge of CPT and ICD coding (non-certified but extensively trained on-the-job)
Experienced in end-to-end billing across multiple specialties
Payment Posting
Proficient in posting insurance payments based on EOBs
Knowledgeable in reconciliation and tracking to maintain accurate balances
I am detail-oriented, reliable, and thrive in fast-paced, accuracy-driven environments. While I may not hold formal coding certification, my real-world experience has allowed me to master the intricacies of medical billing and coding with precision and efficiency.
I am now looking to bring my skills and dedication to a remote team where I can continue to contribute to clean claims, timely reimbursements, and streamlined healthcare operations.
Experience: 5 - 10 years
Medical Coding CPT and ICD 9/10 Insurance verification/eligibility EOB/ERA Insurance Denial
Experience: 5 - 10 years
Experience: 5 - 10 years
Experience: 5 - 10 years
Experience: 5 - 10 years
Experience: 5 - 10 years
Experience: 5 - 10 years
“My business would not be able to go forward if it was not for them”
Gaurab - Adhikari
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