Ahtsham S.

Being a HIPAA Certified Medical Biller & AR Specialist for more than five years, I have a solid educational background. I am highly familiar with the insurance guidelines, current legislation, payer’s system, coding, and medical terminology. I am adept in reviewing patient bills, debt resolution, accounting, bookkeeping, investigating discrepancies, and resolving issues arising from claims consistently exceed expectations throughout my career with minimum claim refusals and delays. I worked on multiple specialties such as Family Practice, Dermatology, Mental Health, Cardiology, Vascular Surgery, Pain Management, Internal medicine, Cervical/Thoracic/Lumbar Spine Surgery, General Surgery, Gynecology & Obstetrics, Pain Management, Chiropractic, Physical Therapy, Speech Therapy, Home Health, Mental Health & Substance Abuse, Acute Inpatient (DRG-Group), Independent Clinical Laboratory, Radiology & Imaging. I have worked with Clearinghouses such as Change Healthcare, Trizetto, Availity, Emdeon & Office Ally. Job Responsibilities: • Patient Registration/Face sheet/demographics/insurance information. • Checking patient eligibility and benefits. • Creating and submitting clean claims to insurance companies. • Obtaining prior and retro authorizations for services. • Applying payments to accounts from ERA/EOB/websites and also patient payments. • Check claim status from insurance, websites, auto-response unit, and through live calls. • Aging report/Follow-up/Appeals. • Customer services and administrative assistance. • Denial management. • Handling patient concerns regarding billing. • Sending invoices to different offices and clients Core Skills and Competencies. • ICD9, ICD 10, CPT and HCPCS Coding review, Encoder pro Expert licensed version guided for correct coding. Billing Software Expertise • EZ claim • Kareo • Office Ally • EClinical Works • Medisoft • Practice Fusion • Cure MD • Mac Practice • Ipatientcare • WebSoft • Practice mate • Therapy Notes • AdvanceMD • Charm Health • Simple Practice