Nouman A.

I am a HIPAA certified Medical biller having 12+ years of extensive experience. I can help you with Insurance eligibility & verification of benefits (VOB), claims' billing with correct CPT and ICD-10 combination. I am expert in doing Pre-Post authorizations, Referrals, Payments Posting, Follow ups, Denial Management & Rejections, Reconsideration/Appeals, Account Receivable (AR), expert in Audit and software reporting. Patient calling & Customer support (inbound & outbound) etc. I can handle Enrollments, Credentialing, EDI, ERA, CAQH and EFT etc. Currently handling complete RCM for different Medical practices in USA. I'm a highly-skilled, self-motivated, and specialized in delivering high-quality services on time concerning strict deadlines. I've worked on various practice management software. In these years, I was dealing with small & large group practices as well as individual providers. I had performed all the tasks related to Medical billing, such as Eligibility verification, Prior authorizations, Patient Data entry, creating claims, Posted payments (ERA/EOBs), Electronic claims submission, EDI rejections, Insurance Rep calls, follow-up on denied claims, worked on AR, prepare appeals, Reporting on client demand etc. My mission is to simplify your billing processes so you can focus on what matters most—caring for your patients. Client satisfaction is my priority. Which is the only reason for my success. ❈🎀 Job Responsibilities 🎀❈ 1: Patient Registration/demographics/Collect insurance information. 2: Checking patient eligibility and benefits 3: Creating and submitting clean claims to insurance companies. 4: Obtaining prior and retro authorizations for services 5: Applying payments to accounts from ERA/EOB/websites and also patient payments. 6: Aging report/Follow-up/Appeals 7: Customer services and administrative assistance. 8: Denials & Rejections management 9: Handling patient concerns regarding billing 10: Bookkeeping 11: QuickBooks 12: Sending invoices to different offices and clients 13: Patient assistance (Inbound & Outbound) 14: Data Entry ❈🎀Services🎀❈ 1- Provide Reliable & Cost-Effective Solutions 2- Provide First Time Resolution (FTR) 3- Service Delivery within Turn Around Time (TAT) 4- Innovative & Continuous Improvement in service. 5- Provide Quality work & unlimited Customer Support. ❈🎀Core Skills And Competencies 🎀❈ • HIPAA Compliance • ICD-10 codes • CPT codes • HCPCS codes • Medical Terminology • Medicare and Medicaid Guidelines through CMS • Knowledge of Payer Reimbursement Characteristics and Billing Policies • Medical Documentation review and Auditing • Daily, Weekly, Monthly or Quarterly Reconciliation • Performs well in complex environments with little direction ❈🎀Specialties I have been working for are as follow🎀❈ Pain Management & Rehabilitation Psychology & Psychiatrists Mental & Behavioral health Family practice Internal medicine Cardiology Radiology Gynecology Acupuncture Urgent care Physical therapy Chiropractic ❈🎀Medical Billing software's🎀❈ PrognoCis Simple Practice AdvancedMD Kareo OfficeAlly Athena eCW NextGen & Health Fusion Presidio FILEVINE ZOHO Asana Zen Desk ❈🎀EHR/EMRs/Clearinghouse🎀❈ Trizetto (Gateway) Waystar Kareo EHR Practice Fusion HelloNote Athena Emdeon Imagine MedCapp ❈🎀My focus points🎀❈ 1. Daily audit of sample size. 2. Publishing weekly /monthly dashboard, production, and accuracy report to clients. 3. Working on new projects to improve process accuracy and productivity. 4. Doing calibration with QCA, Team leader, and SME to reduce process variances. 5. Tracking or identifying root causes and process variances. 6. Conducting PKT (Process knowledge test) to bridge the knowledge gap. 7. Suggesting corrective actions, implementing solutions, and reviewing implementation 8. Providing feedback and refresher training to individuals and teams. 9. Doing remotely and side by side audit of associates Let’s discuss how I can contribute to the success of your healthcare practice. We can schedule a short interview for further discussion. Your satisfaction is my top priority. Thank you!!