Results-driven motivated and focused medical billing and coding professional with a strong knowledge of medical terminology and the billing process. Strategic, innovative and technically skilled in health operations management. Successful track record handling complicated assignments in the field. Skilled in analyzing and validating revenue data information, gathering data and confirming accuracy. Proven success in ensuring compliance with federal, state and internal regulations and policies. Driven to provide exceptional service with dedication, innovation, compassion, and integrity.
Are of Expertise:
NHA Certified Billing and Coding Specialist (CBCS)
Essential UB-4 and CMS-1500 Claims processing
ICD -10, CPT and HICPCS
Clinical Research Associate (CRA) Certified
Primary and Secondary Billing & Managment
HMO, Medicare & Medicaid
Explanation of Benefits-EOB
HIPAA Compliance and Ethics & Patient Confidentiality
Accounts Management
Clearinghouse & Resolutions
High knowledge of EDI and Payer ID
Medical Necessity Medical Etiquette/Ethics
CPT Charges & Payment Posting
Federal and Commercial Medical Insurance
Interpersonal & Patient Skills
Revenue Growth & Recovery
Understanding Fee Schedule, Fee For Services, Capitation
Recovering Revenue