Faizan N.

I am a Medical Biller with 7 years of experience and counting. I am familiar with ICD-10 coding, CPT codes, modifiers, medical terminology, insurance billing processes and guidelines, Emergency Billing, No Surprises Act (NSA), Open Negotiation, out-of-network claims, payer negotiations, clearinghouse rejections, credentialing, prior authorization, insurance verification, and more. Work Experience I have worked on all functions of medical billing and have also performed quality checks and process audits. I have prepared training manuals for AR and payment posting and have extensive experience with the following medical billing functions: Patient Registration & Demographics Insurance Verification & Benefits Prior Authorization Requests and Verification Charge Posting / Superbill Review CPT, HCPCS, ICD-9/ICD-10 & Modifier Validation Emergency & Out-of-Network Claim Billing No Surprises Act (NSA) Open Negotiation Submissions & Follow-Up Initial Offers, Counteroffers & Payer Negotiations Fixing Rejected Electronic Claims Clearinghouse Report Review (Office Ally, TriZetto, Availity) Provider PIN Calling and Verification of Tax ID, NPI & Billing Address EOB and Check Search via Websites and Batches Insurance & Patient Payment Posting AR Follow-Up on Denied/Unpaid Claims via Calls and Payer Portals Appeals and Denial Resolution Collections, Refunds & Overpayments New Patient Scheduling Project Specialization Daily Quality Audits and Accuracy Checks Weekly/Monthly Dashboard, Production & Accuracy Reporting Process Improvement and Productivity Enhancement Calibration with QCA, Team & Clients Root Cause Analysis of Insurance Denials and Revenue Loss Process Knowledge Testing (PKT) Corrective Action Planning and Implementation Individual and Team Feedback & Refresher Training Remote and Side-by-Side Auditing Quality Trend Analysis and Bulk Issue Resolution Specialties Physical Medicine and Rehabilitation Behavioral Health / Mental Health Weight Loss Genetic Testing Laboratory DME Dental Physical Therapy Skilled Nursing Facility Physician/Medical Office Internal Medicine Emergency Medicine & Out-of-Network Billing Medical Billing Software Waiting Room Solutions AdvancedMD Zendesk Xifin Phicure TriZetto EZClaim Office Ally Kareo SimplePractice CareCloud Brightree I have strong adaptability and can quickly learn and navigate new billing platforms and software. Major Insurance Payers Medicare Medicaid BCBS Aetna UHC Cigna Molina Tricare ChampVA Humana I am committed to accuracy, productivity, timely follow-up, and maximizing reimbursement while maintaining proper documentation and compliance throughout the billing process.