Lenin P.

Dental and Medical billing expert having 10+ years experience in US healthcare, Having strong skills and abilities to resolve any denied or rejected claims, Insurance verification, doing timely AR follow-ups, Payment Posting, Claims entry and submission, Obtaining Authorization, Denial Management, Patient appointment setting, Practice Management and Productivity Reports (Daily/Weekly/Monthly). Having great experience in submitting clean claims to the insurance both electronic & paper, Payment posting, Analysis of Explanation of Benefits of denied claims and take appropriate action. Refile the corrected claim to insurance carriers. Eligibility verification through phone and insurance web portal. Updating missing demographics, insurance information and refilling claims. Follow-up with insurance carrier if additional information needed. Denial Management, claim edits and taking Adjustments. Dental specialties I have been working for are as follows Orthodontist || Endodontist || Periodontist || Oral and Maxillofacial Surgeon || Prosthodontist || Pediatric Dentist Medical specialties I have been working for are as follows General Medicine || Urgent care || Chiropractic || Psychology & Psychiatrists || Physical therapy || Nursing & Skilled Nursing billing || Gynecology || Pain Management & Rehabilitation Dental Software’s which I familiar: Open Dental || Dentrix || Denticon || Dentrix Ascend || Curve-Hero || Eagle Soft || Practice WEB || Win OMS || OMS Vision Medical Software’s which I familiar: NextGen & Health Fusion || Athena || ECW || Kareo/Tebra || OfficeAlly || Practice Fusion || Simple Practice || Dr Chrono Clearing House which I familiar: DentalXChange || E Central|| Vyne || Remote Lite || Trizetto (Gateway) || Practice Fusion || Emdeon || Availity || Optum || Kareo EHR OVERALL RESPONSIBILITIES - Dental and Medical Billing - Insurance Eligibility and Benefits Verification - Claims Creation, attachments and Submission - Clearing House Rejections - Accounts Receivables( AR Follow Up) - Payment Posting - Denial Management and Appeals - Provider Credentialing and Enrollment - Submitting Electronic Dental/Medical Records - Working on Referrals and Prior Authorization OTHER EXPERIENCE DETAILS Also i am very specialized in Data Entry, Entering Hand written images, Entering PDF to spreadsheet, Data Conversion, Data Processing, Form Filling and Processing, Data mining, Check Processing, Insurance Claim Processing, General Claim Processing, Bills Processing, Forms Creation, Template Creation, Data Entry into software Program and application, Internet Research, Lead research and Back Office support, sales, phone customer support, cold calling etc.