Arce Mike U.

I specialize in end-to-end Medical Billing and Revenue Cycle Management, offering services such as insurance verification, denied claim resolution, medical billing, and claims processing. As an experienced and detail-oriented Medical Billing Specialist, I possess a comprehensive understanding of medical billing processes and insurance claims management. I have a proven track record of ensuring the accurate and timely processing of claims while maintaining compliance with HIPAA rules and regulations. I am a proud graduate of the University of Science and Technology of Southern Philippines, formerly known as Mindanao University of Science and Technology. With a positive attitude as my driving force, I am constantly exploring and developing new skills to uncover endless possibilities in my career. 𝓢𝓚𝓘𝓛𝓛𝓢: ✅ End-to-End Medical Billing ✅ Claims Creation and Submission ✅ Insurance Verification and Benefits Checks ✅ Prior Authorization Support ✅ Payment Posting ✅ ERA/EOB Review ✅ Accounts Receivable Follow-Up ✅ Denial Management and Appeals ✅ Rejection Review and Correction ✅ Patient Billing Support ✅ Credentialing Support ✅ Revenue Cycle Consultation ✅ Weekly and Monthly Reporting 𝒮𝐸𝑅𝒱𝐼𝒞𝐸𝒮 𝐼 𝒪𝐹𝐹𝐸𝑅: • Uncover, report, and organize details and information around claims. • Provide updates on any irregularities and discrepancies to find appropriate solutions. • Prepare technical reports by collection, analyzing and summarizing information and trends. • Identify and resolve problems and make time-sensitive decisions independently. • Investigate, evaluate, and settle insurance claims. • Analyze and review insurance claims for accuracy, completeness, and eligibility. • Review claims for eligibility to be reimbursed. • Maintain updated records and prepare required documentation. • Ability to understand Explanation of Benefits provided by health care providers. • Follow all HIPAA regulations 𝕀 𝕒𝕞 𝕒𝕝𝕤𝕠 𝕜𝕟𝕠𝕨𝕝𝕖𝕕𝕘𝕖𝕒𝕓𝕝𝕖 𝕠𝕗 𝕥𝕙𝕖𝕤𝕖 𝕤𝕠𝕗𝕥𝕨𝕒𝕣𝕖𝕤: ChiroHD PTEverywhere Availity Office Ally Kareo Athenahealth eClinicalWorks AdvancedMD Epic NextGen Practice Fusion #medicalbilling #medicalcoding #claimsprocessing #RCM #Medical #claims #insurance #billing #insurance #verification #EHR #CPT #Codes #ICD-10 #Management #denials #billingspecialist #billingservices #services #RevenueCycleManagement #Claimsprocessing #MedicalBillingConsultant #HealthcareRevenueCycle #MedicalBillingJob #MedicalBillingCompany #ElectronicMedicalBilling #MedicalBillingAnalyst #MedicalBillingSpecialistCertification #MedicalBillingProcess #MedicalBillingReimbursement #MedicalBillingCollections #PatientRevenueReports #ClaimsStatusReports #DenialTrendReport #DentalBilling #InpatientBilling #HospitalBilling #BehavorialHealthBilling #PhysicalTherapyBilling