Managing all issues related to Billing, Coding, Payments Posting, AR, Enrollment and follow up etc…!Specific Strength is:• Answering patient calls.• Appeals for late filing, medical records, prime EOB to secondary & Medical necessity etc...• Appointments & missed visit reports.• Authorization & Referrals.• Charges Entry.• Charting, Pre-charting• Claim status (utilizing web portals, IVR & live calls.)• Claims creation through different web portals like Availity, VSP, Eyemed, Spectra, Superior & Davis vision, MES etc…• Claims submission by fax, paper and electronic.• Coding (ICD 10, HCPCS & CPT Codes, NCCI Edits and Scrubbing etc…)• Conducting Interviews.• Consulting/Training with practice staff.• Creating new web logins.• Daily, monthly and custom reporting & day closing.• EDI & ERA enrollment.• Emails processing.• Enrollment for OON providers.• ERA’s & EOB’s posting & denials.• Follow up on unpaid/denied claims.• Generating patient statements• IVF - Eligibility & benefits verification.• Patient appointment calls/scheduling• Patient Demographic Entry.• Provider Enrollment status (Also enrolled in new location for contracting providers)• Resolving refunds.• Retro Authorization.• Software & Clearing House Rejections.Billing Software:• Acusimple• Advanced MD• Athena Net• Care Tracker• Charm HER• Chirotouch• Collaborate MD• Crystal• ECW• Epic• EPM• Jane App• Kareo• MD Synergy Solutions• Office Ally• Practice suite• Revolution HER• Simple Practice• TheraNest• Therapy Appointment• TotalMDSpecialties:• Acupuncture• Advanced Hematology and Oncology• Ambulance Billing• Anesthesia Billing• Behavioral Health• Cardiology• Chemotherapy (Oncology)• Chiropractic• Dermatology • Family Medicine • Gastroenterology• Internal Medicine• Ophthalmology + Optometry• Pain Management• Pediatric• Physical Medicine & Rehabilitation• Physical therapy• Plastic Surgery• Radiology• Spinal and Sports Medicine

Job Description:• Conducting Interviews, Consulting/Training with practice staff and client support• Patient Demographic Entry.• Charges Entry.• Coding (ICD 10, HCPCS AND CPT, NCCI Edits & Scrubbing etc…)• Creating new web logins.• Follow up on unpaid/denied claims.• Resolving refunds.• Authorization & Referrals.• Retro Authorization.• Eligibility & benefits verification.• ERA’s & EOB’s posting.• ERA’s & EOB’s denials.• Generating patient statements.• Claims submission by fax, paper and electronic using different clearing houses.• EDI & ERA enrollment.• Software & Clearing House Rejections.• Claim status (utilizing web portals, IVR & live calls.)• Emails processing.• Daily, monthly, custom reporting & day closing.• Enrollment for OON providers.• Provider Enrollment status (Also enrolled in new location for contracting providers)• Appeals for late filing, medical records, prime EOB to secondary & Medical necessity etc…Following billing systems were used:• Advanced MD• Athena Net• Care Tracker• MD Synergy Solutions• Office Ally

Job Description:• Patient billing and insurance billing.• Coding for General Medicine, Family Physician and Physical Medicine & Rehabilitation (hospital and SNF rounds).• Patient Demographic Entry.• Charges Entry• ERA’s & EOB's posting.• ERA’s & EOB’s denials.• ERA’s setup.• Making new web logins.• Software & Clearing House Rejections.• Claim status and eligibility verification (utilizing web portals, IVR & live calls.)• Provider Enrollment status (Also enrolled new location for contracting providers)• Emails processing.• Follow up on unpaid & denied claims.• Prior and Retro Authorization.• Charges audit and submission.• Daily, monthly and custom reporting.• Appeals for late filing, prime EOB to secondary & Medical necessity, medical records, Retro review etc.• Managing all issues related to Billing, Coding, Payments and follow up, etc.Following Billing Systems were used:• Advanced MD.• Office Ally.• Collaborate MD.• ECW (E-clinical Works).• Care Tracker

Worked on software EPM (Electronic practice management).Patient demographic entry.Claim creation via charge entry and ticket charge entry.Resubmission of claims.C4.0, C4.2, C4.3, processing.Payment posting (EOB's and ERA's).UB-04 billing.Worked in QA department as well.