Neha Pathania

● Responsible for posting medical charges and payments in a timely and accurate manner.

● Researches and analyzed claim and coordination of benefits issues.

● Responsible for posting medical charges and payments in a timely and accurate manner.

● Researches and analyzed claim and coordination of benefits issues.

● Processing insurance claim denials. This position works in a close team environment to meet daily, monthly and quarterly billing metrics.

● Verifying correct insurance filing information on behalf of the client and patient .

● Verifying receipt of all patient registration data from client and notifying client of potential coding problems.

● Prepare, review, and transmit claims using billing software, including electronic and paper claim processing.

● Worked on Research and appeal denied claims.

● Knowledge of insurance guidelines, including HMO/PPO, Medicare, and state Medicaid.

● Capable of running and posting physical and electronic check payments through integrated systems.

● Reconcile the payments at month end and end it to clients.

● Experience with Medicare, Medicaid, Medicare replacement plans, and commercial insurance.

● Enter patient demographics, verify diagnosis codes, create paper charts, and file documents accordingly.

● Analyze billing and claims for accuracy and completeness; submit claims to proper insurance carriers and follow up on any issues.

● Followed up on denials and unpaid claims to ensure maximum cash flow and reimbursement.

● Capable of running and posting physical and electronic check payments through integrated systems.

● Monthly A/R reports to identify trends, work with denials, appeals, refunds, and insurance balances.

● Verify patient eligibility, obtain prior authorizations and single case agreements.

● Worked with the medical coder to review patients' clinical statements, and assigned standard codes using appropriate CPT, ICD-10-CM or HCPCS Level II classification system

● Maintained up-to-date knowledge about the essential computer applications, software, and the procedures related to medical billing.

● Enter patient demographics, verify diagnosis codes, create paper charts, and file documents accordingly.

● Verify patient eligibility,

● Maintained up-to-date knowledge about the essential computer applications, software, and the procedures related to medical billing

● Knowledge of insurance companies and authorizations, posting charges, ICD9/CPT codes, etc.

● Current knowledge of coding, billing and reimbursement for commercial insurance, Medicaid and Medicare.

● Code the provider's handwritten diagnosis.

Knowledge about E&M codes and modifiers