Quality Control on the process of Payment posting and Charge Entry in medical billing US healthcare

 Downloading face sheet from appropriate websites for various practices. Verifying patient’s eligibility for DOS for various practices. Creating appointments for appropriate DOS for various practices. Entering Patient’s Demo and Charges for various practices. Posting payments under various practices based on downloads. Handling the team in absence of team lead. Auditing charge entry details against super bill.

 Downloading face sheet from appropriate websites for various practices. Verifying patient’s eligibility for DOS for various practices. Creating appointments for appropriate DOS for various practices. Entering Patient’s Demo and Charges for various practices. Posting payments under various practices based on downloads. Generating the internal reports. Handling the team in absence of team lead. Auditing charge entry details against super bill. Clarifying the doubts with the client in the form of E-mail Handling Production part and internal reports in absence of team lead

 Processing & Reviewing claims for payment and denial Keep checking policies and updates for claim processing And updating the same to the team members  Entering Patient’s Demo and Charges under varies practices. Generating the internal reports. Handling the team in absence of team lead. Posting the payments against paid EOB. Auditing charge entry details against super bill. Clarifying the doubts with the client in the form of E-mail Handling Production part and internal reports in absence of team lead

 Assigning the work to the people in the team and guiding them Processing & Reviewing claims for payment and denial Ensuring the Team Quality to be in control to meet SLA Clarifying the doubts with the client in the form of E-mail Analyzing the reports and giving feedbacks to individual associates Generating the internal reports. Handling the team in absence of team lead Handling Refunds client’s escalations

 Ensure claims are entered and submitted with 48 hours of receipt Analyzing the reports and giving feedbacks to individual associates Generating the internal reports. Handling the team in absence of team lead

Demo entry in Centricity, and insurance verification across variuos locations in florida and around locations.