Raheel S.

𝑰 𝒂𝒎 𝒐𝒏 𝒂 𝒎𝒊𝒔𝒔𝒊𝒐𝒏 𝒕𝒐 𝒉𝒆𝒍𝒑 𝒑𝒆𝒐𝒑𝒍𝒆 𝒂𝒏𝒅 𝒃𝒖𝒔𝒊𝒏𝒆𝒔𝒔𝒆𝒔 𝒃𝒆𝒄𝒐𝒎𝒆 𝒎𝒐𝒓𝒆 𝒑𝒓𝒐𝒅𝒖𝒄𝒕𝒊𝒗𝒆 𝒃𝒚 𝒂𝒖𝒕𝒐𝒎𝒂𝒕𝒊𝒏𝒈 𝒕𝒉𝒆𝒊𝒓 𝒕𝒆𝒅𝒊𝒐𝒖𝒔 𝒎𝒂𝒏𝒖𝒂𝒍 𝒘𝒐𝒓𝒌. I am Certified coder, HIPPA Certified, a highly-skilled, self-motivated person. I am specialized in delivering high-quality services on time with respect to strict deadlines and high expectations. I am providing quality & highly skilled services to clients. I have experience of more than 10 years in Medical Billing as a Supervisor of RCM. I was dealing with small & large group practices as well as individual providers. I am very good at auditing the practice and resolving complex issues to get paid the aged claims. I performed all the tasks related to Medical billing including Telehealth, Getting HRSA ID's, Eligibility verification, Prior authorization, Data entry like creating claims ( Office / Hospital / Emergency Room/ Diagnostics Claims) and posted payments (ERA/EOBs), Electronic claims submission, EDI rejections, Insurance calls, follow-up on denied claims, worked on AR, prepare appeals etc. I believe in providing quality services and client satisfaction. That is the only reason for my success. 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 ✅ Aging report/Followup/Appeals ✅ Customer services and administrative assistance. ✅ Denial management ✅ Handling patient concerns regarding billing ✅ Medical billing audit Core Skills And Competencies ✅ HIPAA Compliance • ICD-10 codes • CPT codes • HCPCS codes ✅ Medical Terminology ✅ Medicare and Medicaid Guidelines ✅ Medical Documentation review ✅ Daily, Weekly, Monthly or Quarterly Reconciliation ✅ Performs well in complex environments with little direction Specialties I have been working for are as follows:- Cardiology, Gynecology, Oncology, Urgent care, Laboratory Billing, Home Health, Physical therapy, Chiropractic, Psychology,Mental health, Acupuncture, Family practice, Internal medicine, Dental, etc. Medical Billing software:- ECW (E-CLINICALS) WellSky (Kinnser) Athena CollaborateMD Kareo OfficeAlly Chiro Touch NeuMD NxtGen AdvanceMD EHR/EMRs:- Practice Fusion Kareo EHR I am confident that my knowledge, ability, and experience allow me to work at the highest efficiency level and attain the best results possible. I also communicate regularly with my clients to work together with them for the success and completion of each project. This is also important, especially when challenged with a roadblock that may well be outside the working guidelines given by the client. Thank you, for taking the time to read my profile. Let us work hand in hand towards success. Try my work, I hope you will love it.. Thank You!