Jeency P.

Senior Medical Billing Expert

I have 12+ years of experience in US medical billing. I have assisted GE Healthcare as Senior Medical billing specialist for 3 years and several other doctors and clinics as Medical Biller for 6 years. I specialize in delivering good quality work with respect to strict deadlines and high expectations. I help out clients with - Aggressive claims follow up on denials from all insurances like Workers Comp, Medicare, Medicaid, BCBS Managed care and Commercial Insurances (Aetna, BCBS, Cigna, UHC, Oxford etc) - checking Eligibility and verification of patient’s health benefits from insurance carrier’s website and through Phone. - Creating claims - Full patient demographics and charge entry - Daily, Monthly reports to doctors - Patient billing as per instructions - Sending medical records and appeals - Super bill review - Insurance claims submission (primary, secondary or tertiary) - matching the right DX and CPT code according to medical records - Providing right DX pointers to avoid payment delays - Adding correct modifiers & send corrected claims with timely filing. - calling insurance to reprocess of incorrectly processed claims - Obtaining authorizations and referrals. - Appealing on denied claims and see if we can get the claim paid. Medical Billing softwares that I am familiar with are Kareo, OfficeAlly, Simple Practice, WRS, ECW, Practice admin, Nextgen etc.,