Rona N.

Medical Biller-Collector|Prof-Hosp-DME-Oral Appliance for Sleep Apnea

Software I'm familiar with: NextGen Waystar Meditech DrChrono Brightree Change Healthcare formerly Emdeon Artiva, SSI, MS4 **INSURANCE PORTAL** Availity, UHC, UMR, Meritain Health, WebTPA, Cigna, Healthfirst, Tricare, VA CCN (Veterans), Optum Serve (Veteran's MDE -dental), Noridian, CGS and a lot more. My field of expertise is with US Healthcare. I am very comfortable with the following: * checking eligibility & benefits * identifying insurance just by looking at the plan id prefix or format *capitation *appealing claim denials and underpayments to the extent of filing an State appeal *Credit balance, refunds/recoupments *ERA/EFT enrollment *payment negotiation through Multiplan *claims submission to both primary & secondary insurance -both electronic and paper *resolving rejected claims. *preparing weekly and monthly revenue report *billing patient for copay, deductible and coinsurance The multi-tasking...all-around virtual assistant is ME.