Medical Billing SpecialistMedical Billing Specialist

Key Achievements:

Verified patient insurance eligibility, benefits coverage, and prior authorizations Reviewed and updated patient records with accuracy and attention to detail Scheduled, rescheduled, and coordinated patient appointments efficiently Communicated coverage details clearly to patients and healthcare providers Managed high call volumes while maintaining professionalism and empathy Ensured compliance with HIPAA regulations and patient confidentiality Utilized EHR systems and scheduling tools to streamline workflow Resolved scheduling and insurance-related issues promptly Confirm copays, deductible, co-insurance and authorization requirements Able to navigate through different medical insurance portals such as BCBS, Cigna, Medicare, Availity, Noridian, among others.

Key Achievements:

Successfully worked on rejected claims that had been denied for payment due to coding error or lack of enough supporting documents, clearing the backlog within a month. Real time update of patient bills ensuring that every service rendered is charged. Reconciles over 5000 claims that had been rejected and resubmitted them for payment. Managed to acquire vast knowledge about American hospital billing systems, their hospital insurance policies and healthcare regulations. Improved hospital revenue cycle management by minimizing claim rejections. Reduced billing errors by ensuring accuracy in invoice preparation, minimizing disputes and improving client trust. Developed a standardized billing checklist that reduced processing delays and improved team efficiency. Managed to learn and work with various American insurance portals and process claims though them