Huma M.
HIPPA Certified Dental and Medical Billing Specialist, RCM Specialist
Hello! I'm a highly experienced Medical Billing and Dental billing Specialist with over 6 years of expertise in providing top-notch RCM solutions for US-based healthcare billing companies. Proven track record in handling medium to large healthcare clients, both in-network and out-of-network billing. I help healthcare providers, clinics, and billing companies streamline their billing process, reduce claim denials, and maximize revenue collections efficiently. My expertise spans across all key areas of medical billing, including: ✔️ Insurance Eligibility Verification ✔️ Patient Demographics & Charge Entry ✔️ CPT/ICD-10 Coding Review ✔️ Claim Submission (EDI & Paper Claims) ✔️ Payment Posting (ERA & Manual) ✔️ Accounts Receivable (AR) Follow-Up ✔️ Denial Management & Appeals ✔️ Patient Billing & Collections ✔️ Reporting & Analytics Practice Management Responsibilities: * Facilitated new practice setup for providers * Implemented strategies to improve practice revenue * Oversaw all aspects of medical billing, coding, and compliance coordination * Conducted insurance audits * Analyzed financial data to drive decision-making * Provided training to employees * Nurtured client relationships Billing: * Verified eligibility and benefit coverage * Handled prior authorization/referral processes * Scheduled patient appointments * Managed patient demographics and charge entry * Submitted insurance claims (primary, secondary, tertiary) * Analyzed Accounts Receivable and conducted collections * Followed up on denials and managed denial management * Initiated appeals on denials through calls, written communication, and fax for reprocessing * Prepared monthly and annual custom reports List of Billing Software and EHR Experience: * Intergy * MicroMD * DME Works * Kareo |• Dentritic * Open Dental * Eagle * Collaborate MD * RXNT * Simple Practice * Therapy Notes * Office Ally * NextGEN * Nextech * Claim MD * Advance MD * ECW * Insync * eThena * Raintree * Care cloud * SPECIALTIES: DME, Mental health, Psychologist, Psychiatrist, Psychotherapist. Podiatry, Pain Management, Dental billing, internal medicine, Family Medicine surgery, Dermatology, Anesthesiology, Physical Medicine & Rehabilitation, chiropractor, Dental, Wound care
Earnings and projects
Last 6 months ÷ 6
Billed in all: $1,139$1.1k