| | | 20,000+ Fresh Resumes Monthly | |
|
|
| |
Click here or scroll down to respond to this candidateRANJEETKOURCertified Professional Medical Biller, AAPCPHONE NUMBER AVAILABLE EMAIL AVAILABLEOBJECTIVEAspire to start a professional journey as a Certified Professional Medical Biller with an organization of repute to bring meaningful change using analytical, interpersonal and communication skills.SUMMARYA Certified Professional Medical Biller from AAPC with good understanding of medical billing processes, regulations and coding systems, which are essential for accurately managing medical billing and reimbursement procedures.Skilled in managing the administrative responsibilities and billing insurance and processing payments for clients.Proficient in communicating with patients about outstanding balances, collecting on behalf of their employer or provider institution as necessary to ensure the patients procedures are paid for by their insurance company.Familiar with billing software and electronic medical records.Possesses excellent analytical, interpersonal and verbal and written communication skills to work with professionals across the globe.SKILLSMedical Billing Coding Systems Insurance Claim HIPAA guidelines Basic understanding of ICD-10 CM, CPT, Modifiers and HCPCS Codes, and Medical Terminology Medical Claim Processing Reimbursement Denial Management Customer Service Administration MS Office ToolsCORE COMPETENCIESCompliance Management -Ensuring adherence to organizational policies and procedures and maintaining compliance with revenue cycle and financial audit guidelines.Healthcare regulations: Familiarity with healthcare laws and regulations, including HIPAA (Health Insurance Portability and Accountability Act), OSHA (Occupational Safety & Health Administration) and infection prevention regulations related to patient privacy and electronic health records.Medical billing and coding procedures: Understanding the process of translating medical services into billing codes, such as Current Procedural Terminology (CPT), International Classification of Diseases (ICD), and Healthcare Common Procedure Coding System (HCPCS) codes.Insurance claim processing: Knowledge of the insurance claim process, such as obtaining current insurance verification and authorization, submitting claims to insurance companies, following up on claim status, and handling claim denials or rejections.Medical terminology: Understanding medical terminology and anatomy to accurately interpret medical records and assign appropriate billing codes.Reimbursement methodologies: Understanding various reimbursement methodologies used in healthcare, such as fee-for-service, capitation, and value-based reimbursement.Generate Revenue: Creating strategies to maximize revenue by arranging payment plans, collecting outstanding accounts, and actively monitoring and pursuing delinquent accounts.Utilize Collection Agencies and Legal Remedies: Working with collection agencies to assist in collecting overdue accounts.Maintain Medicare Bad-Debt Cost Report: Tracking and reporting bad debts incurred from Medicare patients.Secure Outstanding Balance Payments for Employee Care: Ensuring that outstanding balances for healthcare services provided to employees are collected promptly.Administrative Duties - Demonstrating effective computer skills, handling phone calls professionally and promptly, providing complete and accurate information. Also, balance daily receipts and address billing questions.Patient Interaction -Accurately conducting patient check-in and check-out procedures. Also handle privileged patient health information with care.Supply Management - Ordering and maintaining clinical supplies, office supplies, and equipment.Customer Service- Demonstrating good customer service skills when interacting with patients, families, and visitors.Communication & Team Building- Exhibiting effective communication skills and teamwork.Performance Improvement -Participate in unit performance improvement activities.PROFESSIONAL EXPERIENCESwathi Nursing Home, Bangalore India Administrative Officer, April 2020 July 2023Managing front desk employees, organizing, managing and performing administrative tasksScheduling and organizing appointments and meetingsManaging accounts and performing Book KeepingProviding general support to Visitors, answering questions and taking dictationEDUCATION& CERTIFICATIONSCertification in Professional Medical Billing from AAPCPost Graduate in ChemistryBachelor of Science |
