Candidate Information Title Medical Billing Specialist Target Location US-NJ-Iselin Email Available with paid plan Phone Available with paid plan	20,000+ Fresh Resumes Monthly     View Phone Numbers     Receive Resume E-mail Alerts     Post Jobs Free     Link your Free Jobs Page     ... and much more Register on Jobvertise Free
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PHONE NUMBER AVAILABLEEMAIL AVAILABLE1 Hyde Ave, Iselin, NJ, Street Address
C O N T A C T P R O F I L ES K I L L SE D U C A T I O NW O R K E X P E R I E N C ETeamworkCommunicationMS WordExcelBachelors of ArtsVirtual University Of Lahore2013-2017Medical Billing SpecialistHospaidObtain and verify patient information, including personal details, insurance coverage, and demographic information.Verify insurance eligibility and benefits.Prepare and submit medical claims to insurance companies, government healthcare programs, or patients.y and benefits.Ensure that claims are accurate, complete, and comply with regulatory requirements.Address and resolve billing discrepancies or disputes. Record and post payments received from insurance companies or patients. Monitor and follow up on unpaid or denied claims.Resubmit claims with necessary corrections and documentation. Maintain accurate and organized records of patient billing information, claims, and payments.April,2021 to Present--Dedicated and detail-oriented medical biller with 7 years of comprehensive experience in healthcare revenue cycle management. Expertise in processing medical claims, AR follow-up, denials fixation, appeals management and reimbursement. Proficient in using medical billing softwares (Kareo, Advanced MD, Epic, Modmed, ECW, Athena, Dr chrono, Office Ally). A collaborative team player with excellent communication skills, committed to delivering exceptional service to both patients and healthcare providers.L A N G U A G E SEnglishHindiA H S A N J A V A I DM E D I C A L B I L L I N GS P E C I A L I S TClaims ProcessingRepresentativeMillennium Medical BillingReceive and review incoming insurance claims from policyholders, clients, or healthcare providers.Accurately enter claim information into the system. Examine supporting documentation, such as medical records, invoices, or accident reports, to validate the claim.Confirm policy coverage and eligibility.Communicate with policyholders, insurance representatives and providers. Investigate the circumstances surrounding a claim to determine its validity. Make decisions on claims approval, denial, or further investigation. Ensure compliance with payment policies and regulations. Review and analyze claims that are denied, identifying reasons for denial. Communicate denial reasons to claimants and provide guidance on the appeals process.Provide excellent customer service and address concerns or questions. Generate and submit reports on claims processing metrics, trends, and outcomes.Feb 2019 to Mar 2021Fast MDAR Executive May 2017 to Jan 2019Conduct regular follow-ups on outstanding insurance claims to ensure timely reimbursement.Identify and resolve issues causing delays in claim processing and payment. Record and post payments received from insurance companies, patients, and other payers.Investigate and analyze denied claims, identifying the reasons for denial. Prepare and submit appeals for denied or underpaid claims. Provide necessary documentation and information to support the appeal. Monitor and manage accounts receivable aging reports. Follow up with patients regarding unpaid balances, answer inquiries, generate and send patient statements.