Efficient billing specialist with 6 years of experience performing various accounts receivable functions, Specialized in filing Accurate claims, Reviewing rejected claims and understanding insurance contracts, Appeals and EOBs
• Resolving Provider quires through Emails.
• Daily Review of EDI Rejections and Payer Rejections
• Preparing the Appeals for Medically Necessary, Untimely Filling,
Authorization, Non covered services, Covered by other payer, Coverage terminated etc.
Verification of Patient Eligibility and Benefits and coverage
information.
• Has a very good knowledge of analysis the denied claims & resolving the issues.
• Daily review of denial report from the insurance payer and Correction and resubmission of Claims.
• Analyzing the Accounts which are rejected by the Clearing Houses and Insurances and take the necessary actions.
BILLING SOFTWARE KNOWLEDGE: Brightree
Vertical- Durable medical equipment
SKILLS