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Azeema A.
Toba Tek Singh, Pakistan
98% Job Success
Top Rated

Medical Billing, Credentialing and Virtual Assistance

I have an extensive 8 years of experience in medical practice management. I'm a highly-skilled, self-motivated, and specialized in delivering high-quality services on time concerning strict deadlines and high expectations. What do I provide to my client? 1- Provide Reliable & Cost-Effective Solutions 2- Provide First Time Resolution (FTR) 3- Service Delivery within Turn Around Time (TAT) 4- Innovative & Continuous Improvement in service. 5- Provide Quality work & unlimited Customer Support. In these years, I was dealing with small & large group practices as well as individual providers. I had performed all the tasks related to billing, such as Eligibility verification, Prior authorizations, Patient Data entry, creating claims (Office/Hospital/Nursing Home/Diagnostics Claims). Posted payments (ERA/EOBs), Electronic claims submission, EDI rejections, Insurance calls, follow-up on denied claims, worked on AR, prepare appeals, Insurance credentialing, EDI enrollments etc. I believe in providing quality services and client satisfaction, which is the only reason for my success. Job Responsibilities: 1: Patient Registration/Face sheet/demographics/insurance information. 2: Checking patient eligibility and benefits 3: Creating and submitting clean claims to insurance companies. Credentialing and enrollments with payers. 4: Obtaining prior and retro authorizations for services 5: Applying payments to accounts from ERA/EOB/websites and also patient payments. 6: Aging report/Follow-up/Appeals 7:Customer services and administrative assistance. 8: Denials & Rejections management 9: Handling patient concerns regarding billing 10: Bookkeeping 11: QuickBooks 12: Sending invoices to different offices and clients 13. Patient assistance (Inbound & Outbound) Core Skills And Competencies: • HIPAA Compliance • ICD-10 codes • CPT codes • HCPCS codes • Medicare and Medicaid Guidelines through CMS • Knowledge of Payer Reimbursement Characteristics and Billing Policies • Documentation review and Auditing • Daily, Weekly, Monthly or Quarterly Reconciliation • Performs well in complex environments with little direction Specialties I have been working for are as follow:- Nephrology Urgent care Physical therapy Chiropractic Assisted Living Facility Psychology & Psychiatrists Cardiology Radiology In-patient & Out-patient hospital billing Nursing & Skilled Nursing billing Gynecology Pain Management & Rehabilitation Softwares i can worked. Practice Fusion PrognoCis Simple Practice AdvancedMD Kareo OfficeAlly Athena ECW NextGen & Health Fusion Presidio FILEVINE EHR/EMRs/Clearinghouse:- Trizetto (Gateway) Kareo EHR HelloNote Athena Emdeon Imagine MedCapp My focus points:- 1. Daily audit of sample size. 2. Publishing weekly /monthly dashboard, production, and accuracy report to clients. 3. Working on new projects to improve process accuracy and productivity. 4. Doing calibration with QCA, Team leader, and SME to reduce process variances. 5. Tracking or identifying root causes and process variances. 6. Conducting PKT (Process knowledge test) to bridge the knowledge gap. 7. Suggesting corrective actions, implementing solutions, and reviewing implementation 8. Providing feedback and refresher training to individuals and teams. 9. Doing remotely and side by side audit of associates
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Skills

  • Accuracy Verification
  • Accounts Receivable
  • Revenue Management
  • Medical Procedure Coding
  • Medical Mastermind Medical Billing Services
  • Phone Communication

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