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Sahari D.
Cagayan de Oro, Philippines
100% Job Success
Top Rated Plus

Top Rated HIPAA Certified Medical and Dental Billing Expert VA

Experienced in both Medical Billing and Dental Billing with over 8 years of in-depth experience in the health care industry. I am a High level biller that is able to manage accounts and provide support to my clients and owns Billing PROtect. Promoted twice as a Lead Medical Biller handling 2 practices by myself and a Dental biller for 2 Departments (Billing & Financial Department) for 2 locations. I also have a background in Customer service and worked at the same time as a technical-support representative. Open for an interview if needed! Medical & Dental Billing Services: • Submitting Prior-Authorization/Pre-determination including the use of NEA FastAttach, Continuation of Care, creating narratives, and request for credentialing. • Check Eligibility and verification of patient’s health benefits from insurance carrier’s website or through phone call verification. • Patient scheduling • Full patient demographics and charge entry. Processing of Recurring payments for different mode of payments including credit cards and etc. • Insurance claims submission (primary, secondary or tertiary) • Payment Posting for EFT/ERA, cheque, or other forms of payment including Recoupment from insurance companies • Accounts receivable analysis with corrective and preventive actions and decision making for Collections • Strong claims follow up on denials from insurances like Workers Comp, Medicare, Medicaid, BCBS Semi Government, Managed care and Commercial Insurances (Aetna, BCBS, Cigna, UHC, Oxford etc...) • Patient billing inquiries as per received information from provider office, front desk, treatment coordinators, MA's, and from the doctor • To check claim status from insurance, websites, auto response unit and via live calls. • To make on call appeals for reprocessing of incorrectly processed claims based on billing knowledge • ICD9, ICD10, CPT and HCPCS Coding and/or review • Daily, Monthly and annual AR Financial reports preparation • Custom reports if required • Patient billing as per instructions • Credentialing guidelines • Consulting/Training • Super bill review • Appeals Medical & Dental Coding: • To identify and research the right DX and CPT code according to medical records and treatment selected by patients for dental billing. • Provide right DX pointers for the first time to avoid payment delays • Suggest appropriate modifier for maximizing the revenue via Encoder pro Expert licensed version and supercoder
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Skills

  • Technical Support
  • Medical Billing & Coding
  • Medical Translation
  • Medical Procedure Coding
  • Medical Mastermind Medical Billing Services
  • ICD Coding

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