I have almost 6 years experience in BPO and recent experience in VA. Most of my workload is billing insurance, checking eligiblity and benefits, Rebilling insurance, Patients Intake, Checking Denials, Submitting Appeals, Collecting Payments from the Pt, Outbound to call doctor's office to get Patient's demographic for update. Posting of payments from Lockbox and Credit Card. I also have a brief training with authorizations. can say, I am up to the task I am given with Minimal supervision. I am also a team player and a visionary employee. I can work under pressure and multi-task. I can also prioritize urgent task while I am currently doing something and get back to it like nothing happened. I am also detail oriented and also making sure all the information I get are accurate with substantial proofs from documents and records. Tools that I use in my current and previous jobs are
TEBRA, EMR, ABS , AGEILITY , WAYSTAR, DIRECT BILL, NET HEALTH, PORTICO, MatrixCare.
Experience: 2 - 5 years
Cater members and providers regarding ELIGIBLITY, BENEFITS, CLAIMS, AUTHORIZATION, APPEALS STATUS. Updating Pt's demographics
Experience: 2 - 5 years
Receiving payments from Pt, Posting of payments in the system from CC and Lockbox - Check payments. Callback Pt for follow up. Bill Pt for her/his balance. Do outbounds to Pt to let them know.
Experience: 2 - 5 years
Follow up with denials and no update claims and already past due tat, Submitting appeals, Claim Denials, Rebilling insurance, Adding new insurance, Checking Eligibility of the Pt's insurance.
Experience: 2 - 5 years
Checking if Provider is in network or oon. Making sure that Pt will be covered by the insurance. Looking for providers who accepts new patient that suits the Pt's preference.
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