Medical Biller | Billing Specialists | CSRMedical Biller | Billing Specialists | CSR

Key Achievements:

Generate and bill Claims Entered PDPM and diagnosis codes. Entered and managed ancillary charges. Uploaded and reviewed therapy. Generated and distributed reports. Conducted triple-check reviews with MDS, Rehab. Reviewed patient charts for accurate coding and billing information Prepared and submitted insurance claims to Medicare, Medicaid, and private insurers Followed up on denied, rejected, and unpaid claims, submitting corrections and appeals as needed Posted payments, adjustments, and reconciled patient accounts to maintain accurate AR balances Communicated effectively with insurance carriers, providers, and patients to resolve billing issues Managed appeals and provider relations to maximize reimbursement Maintained compliance with HIPAA and healthcare regulations

Key Achievements:

Provided front-line customer support to patients via phone and email. Scheduled, confirmed, and rescheduled medical appointments while coordinating with providers and clinical staff. Verified insurance eligibility, processed authorizations, and explained coverage details to patients. Maintained accurate electronic health records (EHR) in compliance with HIPAA regulations. Handled billing inquiries, payment processing, and account updates with high attention to detail. Resolved patient and provider concerns and complaints professionally, ensuring a positive patient experience. Assisted with patient intake, documentation, and medical record filing. Managed high call volumes while maintaining quality service and professionalism. Claims denial management.