Adnan A.

I have more than 8 years of experience in Medical billing field where i can assist/help you with payment posting, reading EOB/Records, denials management, charge creation, account receivable and complete RCM work. I can handle authorizations, enrollments, credentialing, EDI. I'm a highly-skilled, self-motivated, and specialized in delivering high-quality services on time concerning strict deadlines and high expectations. What do I provide to my client? 1- Provide Reliable & Cost-Effective Solutions, Free services for a week 2- Provide First Time Resolution (FTR) with maximum accuracy 3- Service Delivery within Turn Around Time (TAT) according to client expectations 4- Innovative & Continuous Improvement in service, try to decrease the human errors 5- Provide Quality work, Customer Support and patient services I have worked 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 Demo, creating claims (Office/Hospital/Nursing Home/Diagnostics Claims). Posted payments (ERA/EOBs), Electronic claims submission and paper claims mailing out, EDI rejections, Insurance calls, follow-up on denied claims, worked on AR, prepare appeals and Medicare redeterminations, etc. I believe in providing quality and timely services for client satisfaction, which is the only reason for my success. Job Responsibilities: 1: Patient Registration/Face sheet/demographics/insurance information (Pri & Sec). 2: Checking patient eligibility and benefits with all insurances 3: Creating and submitting clean claims to insurance companies without errors. 4: Obtaining prior and retro authorizations for different injections and services 5: Posting payments to accounts in different software from ERA/EOB/websites and also patient payments. 6: Aging reports 60+ 90+ & 120+ /Follow-up/Appeals 7: Customer services, email communication and administrative assistance. 8: Denials & Rejections management, resubmitting corrected claims 9: Handling patient concerns regarding billing and payments 10: Bookkeeping, QuickBooks 12: Sending invoices to different offices and clients 13. Patient assistance (Inbound & Outbound) Core Skills And Competencies: • HIPAA Compliance • ICD-10 codes • CPT and HCPCS codes • Medical Terminology • Medicare and Medicaid Guidelines through CMS according to LCD • Knowledge of Payer Reimbursement Characteristics and Billing Policies • Medical Documentation review and Auditing on previous billing • Daily, Weekly, Monthly or Quarterly Reconciliation Specialties I have been working for are as follow:- Urgent care Physical therapy Chiropractic Psychology & Psychiatrists Mental & Behavioral health Family practice Internal medicine Cardiology Radiology In-patient & Out-patient hospital billing Nursing & Skilled Nursing billing Gynecology Pain Management & Rehabilitation Medical Billing software's:- PrognoCis Simple Practice AdvancedMD Kareo OfficeAlly Athena ECW NextGen & Health Fusion Presidio FILEVINE EHR/EMRs/Clearinghouse:- Trizetto (Gateway) Kareo EHR Practice Fusion HelloNote Athena Emdeon Imagine MedCapp My focus points:- 1. Daily audit and double checking the work 2. Publishing weekly /monthly dashboard, production, and accuracy report to clients with paid/unpaid claims ratio. 3. Working on new projects to improve process accuracy and productivity. 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 for better performances.