Medical Billing Specialist
Midwest Sleep Medicine
Total years of experience :12 years, 5 months
Worked for a USA based sleep medicine clinic as a freelancer remotely from India and reported directly to US Office.
Did patient scheduling, charge posting for office visits, sleep studies and DME rentals, billing durable medical equipments to insurance.
Making sure that the patient is compliant in using DME and prior authorization has been obtained before billing insurance company.
Checking insurance companies websites for pending claims status.
Handling Denials sent from insurance companies and look into denial reasons and sending the required documents to insurance and refilling the claims.
Running various reports in software and making sure that the payment has been received for all the patients.
Did data analysis using various reports to check claims life cycle, status, and send report to US office regarding the same.
Worked for a USA based clinic remotely from India. Did patient scheduling, demographic entry, charge posting and checking insurance companies websites for claims status and updating software regarding the same..
Entered physicians medical notes into medical billing software called Success EHS.
Did Medical Transcription for the clinic. Converted audio files of physicians, running the files in dragon software and auditing the transcribed files.
Handling Insurance Claims for Physicians & Hospitals. Manage accounts receivable, invoice patients and send statements, prepare reports. Patient demographic entry, charge entry, payment posting into medical billing software of the physician and hospitals.
Familiarity with medical terminology, good interpersonal, communication, organizational and time management skills. Train, mentor and coach team members to help climb them learning curve.
Knowledge of Medical Billing software Medisoft, Surgi Source, Advantx, Medical Manager & Clinical Console.
To do demographic entry, charge entry and payment posting.
Checking insurance companies website for claims status and follow-up with insurance companies on pending claims.
Also did Medical Transcription as and when required.
Did Quality check of the work. Worked on Medisoft Software.
➢ Completed MBA from Sikkim Manipal University in April 2011.
➢ Graduation in Bachelor of Arts from Delhi University.