In network and Out of Network Billing.Registering the patient and verifying their insurance coverageCollecting the information required to create a claimWorking directly with the insurance company, healthcare provider, and patient to get a claim processed and paidReviewing and appealing unpaid and denied claimsHandling collections on unpaid accountsPost all insurance payments, contractual and non-contractual adjustments for assigned carriers by CPT code and transfer… Show more In network and Out of Network Billing.Registering the patient and verifying their insurance coverageCollecting the information required to create a claimWorking directly with the insurance company, healthcare provider, and patient to get a claim processed and paidReviewing and appealing unpaid and denied claimsHandling collections on unpaid accountsPost all insurance payments, contractual and non-contractual adjustments for assigned carriers by CPT code and transfer outstanding balance to secondary insurance or patient responsibility per EOB & ERA protocol. Close payment batches daily, reconciling individual carrier payments and EOB statementsInitiate processes to follow up on rejected claims as evidenced by EOBs, per EOB protocolTransmit all appropriate electronic and paper claims, correct any errors on claims and re-transmit; file secondary claims as necessary. Discuss outstanding payment amounts with patients regarding balance owed by the insurance company and the patientMaintain standards to ensure systematic, consistent and timely collection follow-upFollow up on accounts with outstanding balances that do not have appropriate payment arrangementsFollow up with appeals and denials in a timely manner to ensure prompt reimbursementRun the Aging by Carrier report every month and every outstanding account should be worked within a 30 day periodProcess insurance claims and resubmit as neededReview patient balances for Collections and turnover to third party as neededReview clearinghouse daily to ensure claims are flowing through the process and any denials, errors or rejections are corrected timelyEnsuring client satisfaction by an effective and regular follow up on account receivables.Understanding of relevant Key Performance Indicator (KPIs) and working towards positive results for the assigned clients against all KPIs.Make different types of report which are required by the client. Show less

• To perform the audit of Practices/Users and analysis of work done by user.• To calculate the errors rate and give suggestion to improve the health of the practice and Performance of the user.• Make different types of reports which are required by department head in MS Excel.

To perform medical billing for offshore doctors.To keep informed of all changes in the rules and regulations of insurance carriers and regularly update the team lead.To research / analyze and prepare appeals when claims are rejected.To teleconverse with insurance companies for the claim follow up.To teleconverse with clients (Doctors) in USA.

In network and Out of Network Billing.Registering the patient and verifying their insurance coverageCollecting the information required to create a claimWorking directly with the insurance company, healthcare provider, and patient to get a claim processed and paidReviewing and appealing unpaid and denied claimsHandling collections on unpaid accountsPost all insurance payments, contractual and non-contractual adjustments for assigned carriers by CPT code and transfer… Show more In network and Out of Network Billing.Registering the patient and verifying their insurance coverageCollecting the information required to create a claimWorking directly with the insurance company, healthcare provider, and patient to get a claim processed and paidReviewing and appealing unpaid and denied claimsHandling collections on unpaid accountsPost all insurance payments, contractual and non-contractual adjustments for assigned carriers by CPT code and transfer outstanding balance to secondary insurance or patient responsibility per EOB & ERA protocol. Close payment batches daily, reconciling individual carrier payments and EOB statementsInitiate processes to follow up on rejected claims as evidenced by EOBs, per EOB protocolTransmit all appropriate electronic and paper claims, correct any errors on claims and re-transmit; file secondary claims as necessary. Discuss outstanding payment amounts with patients regarding balance owed by the insurance company and the patientMaintain standards to ensure systematic, consistent and timely collection follow-upFollow up on accounts with outstanding balances that do not have appropriate payment arrangementsFollow up with appeals and denials in a timely manner to ensure prompt reimbursementRun the Aging by Carrier report every month and every outstanding account should be worked within a 30 day periodProcess insurance claims and resubmit as neededReview patient balances for Collections and turnover to third party as neededReview clearinghouse daily to ensure claims are flowing through the process and any denials, errors or rejections are corrected timelyEnsuring client satisfaction by an effective and regular follow up on account receivables.Understanding of relevant Key Performance Indicator (KPIs) and working towards positive results for the assigned clients against all KPIs.Make different types of report which are required by the client. Show less