Safina B.

I am a HIPAA certified Medical Biller, Coder, credentialing specialist and EDI analyst and have 4+ years of experience and counting. Familiar with ICD-10 coding, CPT codes, modifiers, Medical Terminologies, Insurance Billing processes and guidelines, clearinghouse rejections, credentialing, prior authorization, insurance verification, etc. I am a Research Analyst ✅Medical Billing and Coding I have worked on all functions of medical billing and also did quality checks for the same. I have also prepared a training manual for AR and payment posting. I have great experience working on the below-mentioned functions of Medical billing. ✅Patient Registration ✅Insurance Verification ✅Pre Authorization Request and verification ✅Charge Posting / Superbill review ✅Evaluation of valid HCPCS codes, ICD 9-10 and Modifier ✅Fixing Rejected Electronic claims ✅Checking clearinghouse reports (Phicure, Trizetto, availity and Navinet) ✅Provider PIN calling (for verifying provider TAX id, NPI, and billing address) ✅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 Project Specialization ✅Credentialing & Enrollment Experience Practice and provider credentialing, re-credentialing with all US government, commercial, managed-care payers/insurances of any provider or practice specialty. ✅Medicare, Medicaid, Medicare & Medicaid plans and commercial insurance and plans enrollment ✅Follow up on submissions of all enrollment every week ✅Getting Type 1 and Type 2 NPI through NPPES registry ✅ERA and EFT enrollments ✅Contract negotiations and fee schedule settlements ✅CAQH up to date, NPPES up to date and weekly track the issues and communicate with front office and providers. ✅Provider Directory maintenance