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saadgr80
Professional Medical Billing and Coding Expert
Pakistan
Englisch
Über mich
I am a Medical Biller and coder, Auditor, SEO Professional (BS degree) as well as a Business consultant providing personalized services for hospitals, healthcare facilities, small business practices, solo practitioners, and other entities in the United States. I specialize in services such as ICD-10-CM, CPT, and HCPCS Level II Coding/Billing, Medical Documentation Auditing/Compliance, Revenue Cycle Management, Claim Appeals, Third-Payer Payer Audits, Workflow Development, EMR transition, Financial and Accounting, reporting and many other medical billing services.
Kompetenzen
saadgr80
offline •
Durchschnittliche Antwortzeit: 1 Stunde
Meine Dienstleistungen
Allgemeine Unterstützung
I will do medical billing, charge entry, and complete rcm for your healthcare business
Portfolio
Arbeitserfahrung
Medical billing specialist
PMTAC • Vollzeit
Sep 2018 - Aug 2024 • 5 yrs 11 mos
Responsibilities: • Eligibility & Benefits Management: Conducting detailed eligibility verifications, benefit checks, and referral processing to ensure accurate patient coverage. • Prior Authorizations: Obtaining and managing prior authorizations across multiple specialties and payers to avoid claim denials. • Accounts Receivable (AR) Follow-Up: Performing systematic AR follow-ups, tracking outstanding balances, and ensuring timely collections. • Denial Management: Investigating, appealing, and resolving denials through payer portals, fax, and mail; ensuring maximum reimbursement. • Insurance Follow-Up Calls: Communicating directly with insurance representatives to expedite claim resolutions and clarify coverage issues. • Payment Posting & Reconciliation: Accurately posting payments, reconciling accounts, and maintaining financial transparency for practices. • Customized Reporting: Developing advanced, tailored reports based on practice requirements to provide actionable insights and improve revenue cycle performance. • Workflow Optimization: Streamlining processes and creating SOPs to enhance efficiency and compliance. • Patient Communication: Addressing billing inquiries professionally and in alignment with clinic policies.
Medical billing manager
Sequel Technologies • Vollzeit
Aug 2014 - Aug 2018 • 4 yrs
Responsibilities: •Eligibility & Benefits Management: Conducting detailed eligibility verifications, benefit checks, and referral processing to ensure accurate patient coverage. •Prior Authorizations: Obtaining and managing prior authorizations across multiple specialties and payers to avoid claim denials. •Accounts Receivable (AR) Follow-Up: Performing systematic AR follow-ups, tracking outstanding balances, and ensuring timely collections. •Denial Management: Investigating, appealing, and resolving denials through payer portals, fax, and mail; ensuring maximum reimbursement. •Insurance Follow-Up Calls: Communicating directly with insurance representatives to expedite claim resolutions and clarify coverage issues. •Payment Posting & Reconciliation: Accurately posting payments, reconciling accounts, and maintaining financial transparency for practices. •Customized Reporting: Developing advanced, tailored reports based on practice requirements to provide actionable insights and improve revenue cycle performance. •Workflow Optimization: Streamlining processes and creating SOPs to enhance efficiency and compliance. •Patient Communication: Addressing billing inquiries professionally and in alignment with clinic policies.
