Calestina Bhasin Email & Phone Number

Old Bridge Township, Nj, Us

New York

United States

Billing Compliance/Coding Review - Responsible for advising physicians, management & staff of local & national coding & documentation policies. Ensured charge submission & AR follow-up is occurring on a timely basis by collaborating with 3rd party billing company Interacted with patients in person & via phone relating to billing inquiries.Provided input on system edits, processes, policies, & billing procedures to ensure maximization of revenues. Identified payer & provider credentialing issues & address them with management.Communicated with providers, patients, coders, or responsible persons to ensure that claims are correctly processed by 3rd party payersVerified items in assigned work queue(s) are resolved within required time frame using payer website, billing systems, & CBO pathways Participated in work groups & meetings, attended all required training classes, escalated issues to management as needed, read and applied policies & procedures to make appropriate decisions, & maintained confidentiality.

Greater Orlando

Coordinate with medical provider & staff to ensure my internal billing team and I are meeting objectives. Daily management of client issues & needs. Research, document & train billing teams on specific insurance mandates. Implement strategies and projects to enhance my service to the client.

New York, Ny

Extensive follow up on outstanding Medicare claimsConducted telephone and website inquires regarding claim status, Medicare current billing guidelines, member eligibility and Coordination Of Benefits statusCorrected and resubmitted claims that denied erroneously electronically or via a written appealUpdated patient demographic information as needed, answer patient calls pertaining to account balance on Medicare claims, And discussed Coordination Of Benefits issuesWrote appeal letters on denials

Answered medical and customer inquiries regarding coverage and explaining rejections related to alleged experimental treatments or questionable procedures. Responsible for spotting and investigating details in insurance claims that may indicate insurance coverage abuse, fraud or unwarranted medical treatments or procedures. Also reviewed claims returned or rejected by government or supplemental insurance companies and appealed as needed.

Icd-10 Medical Coding: Preparation And Instruction For Implementation, Icd-10 Medical Coding: Preparation And Instruction For Implementation, 3.9

Preparation for and implementation of massive changes to the existing coding system. This program provided a comprehensive overview.

Medical Coder, Medical Coding And Billing, 4.0

Human Services-Mental Health Curriculum, 3.0