Nichole John L.

Combined with strong and progressive 8+ years of experience in medical billing and records retrieval. I have developed comprehensive knowledge with ICD-10 coding, CPT codes, modifiers, medical terminologies, insurance billing processes, guidelines, clearinghouse rejections, credentialing, prior authorization, insurance verification, and personal injury - chronological treatments of patients. Medical Billing and Collection Specialist: I have worked on all functions of medical billing and also did quality checks for the same. I have great experience working on the below-mentioned functions of medical billing. * Patient Registration * Insurance Verification * Pre Authorization Request and verification * Fixing Rejected Electronic claims * Checking clearinghouse reports (Phicure, Trizedo, Availity) * EOB and check search via websites and batches * Payment Posting of Insurance and Patient * AR Follow up on denied claims via call or websites * Appeal project * Collection / Refund / Over-Payment * Scheduling new patients I have worked for the below-mentioned specialties of the provider’s claim specialties: * Physical Medicine and Rehabilitation * Behavioral Care Solution/Mental Health * Weight loss * Genetic Testing Laboratory * DME * Dental * Physical Therapy * Skill Nursing Facility * Family Medicine / Doctor's clinic * Internal Medicine Software Work Experience: * Waiting Room Solutions * Athena One * AdvancedMD * Simplepractice * Therapy Notes * ECW * HealthArc * ChiroTouch * Alleva * Zoho Records Retrieval Specialist and Medical Case Manager: * Monitored patient medical treatment status * Requesting records and bills (Certified or not) in a timely manner from medical providers * Collecting invoices and manages payments for the records and bills * Monitored third party records statuses ( Ciox-Datavant, MRO, Chartswap, Chartrequest, Healthmark, etc. * Preparing certified records and bills for Mediation, Settlements, Trials, or Depositions. Software: * Smokeball * Filevine * Clio Grow and Clio Manage I am willing to be trained and open to learning new things. Looking forward to working with you.