“Medical billing is the bridge between patient care and financial sustainability for healthcare providers.” — Anonymous
With a keen eye for detail and a deep understanding of insurance protocols, coding, and compliance, I help simplify the billing process and reduce errors, so you can focus on what truly matters—patient care.
Involves collecting vital patient details, such as personal information, insurance coverage, and medical history, to ensure the correct processing of claims. This process includes verifying insurance eligibility, confirming benefits, and ensuring all necessary documentation is in place before services are rendered.
Involves accurately coding diagnoses, treatments, and procedures based on the patient's medical records and insurance plan. Generates claims, which includes all the necessary details, such as patient information, service dates, and billing codes.
Involves regularly checking the status of submitted claims, addressing any issues or discrepancies, and communicating with the insurance company to resolve any problems. This may include providing additional documentation, appealing denied claims, or clarifying billing codes.
Involves matching these payments to the correct patient accounts and ensuring that all payments are accurately applied to the corresponding services. This includes verifying the payment amounts, identifying any adjustments, denials, or outstanding balances, and updating the patient’s financial records accordingly.
I was responsible for analyzing complex eligibility and benefits data, verifying patient coverage, and resolving discrepancies to ensure accurate claim submissions. I collaborated with internal teams and external partners to address issues, streamline workflows, and reduce claim denials. My expertise in payer requirements, regulatory compliance, and claim adjudication played a key role in optimizing reimbursement cycles, improving operational efficiency, and providing exceptional support to both providers and members.
I oversaw the entire process from eligibility verification to claims billing submission and denial management. My role involved ensuring accurate patient eligibility checks, coordinating the timely submission of claims, and addressing any issues related to claim denials. I worked closely with the billing team to resolve discrepancies, reduce rejections, and ensure compliance with insurance policies and regulations.
My focus on streamlining the billing process helped improve cash flow, minimize delays, and ensure full compliance with hospice care regulations, all while supporting the financial stability of the organization and prioritizing quality patient care.
I managed billing for urgent care centers and doctor's office visits. My understanding of urgent care and office visit protocols helped optimize revenue cycles, reduce billing errors, and ensure compliance with industry standards
I was responsible for verifying patient eligibility and ensuring accurate insurance coverage for home healthcare services. My role involved reviewing and confirming insurance benefits, coordinating with payers to resolve discrepancies, and ensuring that all required documentation was in place for smooth claims processing.
I managed the initial patient onboarding process, including gathering and verifying patient information, insurance details, and medical histories. I ensured accurate documentation and seamless coordination between patients and healthcare providers, facilitating smooth scheduling and timely service delivery.
