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Wajiha R.
Bagh, Pakistan
100% Job Success
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Medical/Mental/Dental/Home Health & Hospice Biller | AR Specialist

Hello! I have extensive experience in Medical Billing, Mental/ Dental Billing, Physician Billing Homehealth Billing and Hospice Billing, coding and credentialing expert with nearly 10 years of experience. I am friendly, loyal, and dedicated, to my work. My Solution & Expertise: Specialization: * Insurance Verification * Medical Billing * Medical Scrubbing * Credentialing PECOS/CAQH * Appointment Setting/Scheduler * Chat/Email Support * Data Entry * Medical Transcription * Customer services Tools: * Excellent Typing skill (35-50wpm). * MS Office. * Microsoft Excel. * Google Docs. * Google Spreadsheet. * Dropbox. * Teams * Slack Job Responsibilities: * Patient Registration/demographics/insurance information * Checking patient eligibility and benefits verification * Creating and submitting clean claims to insurance companies. Weekly, monthly, annually billing and coding audit services. . * Obtaining prior and retro authorizations for services * Payments posting from ERA/EOB/websites and also patient payments. * Denials management * Aging report/Follow-up/Appeals * Handling patient calls regarding payments and billing records * Sending invoices to different offices and clients. * EDI 835/837 enrollment * Charge posting and Demographic entry. 5.Payment posting on claims through ERA/ EOB/ Web site, IVR, Fax. * Billing primary and Secondary Claims and to patients where required. * Resolve/ Repair the claims rejected by clearing house in electronic submission. * follow up on unpaid claims within standard billing cycle timeframe. * prepare appeals for denied claims. * Telephonic conversation with insurance companies for issue resolution and claim status 11.A/R Management. And much more... Specialties I have been working for are as follow: * Ophthalmology * Urgent care * General Pediatric * Skilled Nursing * Physical Therapy * Psychiatric * Mental Health * Home healthcare * Family practice * Internal medicine * Pain Care * Pain Management * Medical Billing * Physician Billing * Hospice Billing Billing Software's I have used: 1.Kinnser. Wellsky 2.officeAlly 3.Devero 4.Healthcare First 5.MatrixCare 6.Kantime 7.Countinulink 8.Allegheny 9.point click 10. DSL 11. Medbillit 12. NextGen 13.Athena 14.Modmed 15.Eclinical work 16.Kareo 17.AdvanceMd 18. Careficient 19.PracticeFusion 20.Practice Suite 21. TheraNest 22.IHeal 23 Alora plus 24.Open Practise and much more.. Insurance web portals that I have used: * CGS(Medicare) * WPS (Medicare) * Palmetto GBA (Medicare) * Noridian (Medicare) * Novitas (Medicare) * Navinet * Availity * UHC * Cigna * Optum * Payspan * Humana * Molina healthcare * Health First * MS Medicaid * HRSA uninsured Skills and Competencies * ICD-10 codes * CPT codes * HCPCS codes * Medical Terminology * Medicare and Medicaid Guidelines * Knowledge of Payer Reimbursement Characteristics and Billing Policies * Medical Documentation review and Auditing * Daily/Weekly/Monthly/Quarterly Reconciliation * Performs well with little\without supervision. Resources : I have all the resources available like USA Phone, Computers/Laptop & High-speed Internet Connection. Why You Should Hire me ? Fast and accurate service 100% Accuracy 100% Satisfaction If you have any questions, feel free to ask me anything. Looking forward to hearing from you. Best Regards, Wajiha Khan.
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Skills

  • Phone Communication
  • EMR Data Entry
  • Insurance Claim Submission
  • Financial Report
  • Medical Referrals
  • Insurance Verification
  • Medical Mastermind Medical Billing Services
  • Accounts Receivable
  • Healthcare

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