PROFICIENT MEDICAL BILLING|A/R|RCM SPECIALIST

Overview

Looking for full-time work (8 hours/day)

at $7.00/hour ($1,232.00/month)

Bachelors degree

Last Active

November 16th, 2024 (4 days ago)

Member Since

February 23rd, 2024

Profile Description

High-performing HIPAA Certified Medical Billing Specialist/
RCM Specialist/ A/R Specialist / Medical VA with more than 4 years’ expertise
in the relevant fields. Providing comprehensive and accurate information on
benefits and eligibility. Investigating claim denials to find a solution.
Ability to collaborate easily with others to brainstorm and provide ideas that
will improve the effectiveness and efficiency of the process. Experienced in
different areas from A/R follow-up, claims submission, pay posting, rejected
and denial management and data entries. I worked on claims and different
denials and rejections, review remits and EOBs, post payments, work on
authorization, and insurance verification.

Some responsibilities include:

- Reviewing denials on an explanation of benefits (EOB) statement and working
on issues until resolved.

- Log onto an insurance website/portal (if available) to investigate insurance
denials and rejections.

- Analyzing Accounts Receivable reports to follow up on unpaid claims

- Sending out appeals on claims that require an appeal

- Submitting any required documentation to insurance companies as requested

- Researching the claims for information to process bills in a timely manner

- Communicating with insurance companies, adjustors, and patients on a regular
basis

- Correcting any errors and resubmitting all unprocessed or returned claims to
insurance companies

- Investigating insurance denials and rejections

- Performing other related duties as assigned

- Executing appropriate collection activities in accordance with practice
guidelines



I look forward to the
opportunity to further discuss how I can contribute to the success of your
organization.