Danilo M.

I have extensive experience in medical billing (over 15 years using various different systems) and a friendly, loyal, and dedicated individual who has an ambition to succeed in any given environment. I am an avid and quick learner, and am always up to a challenge whatever the situation. I get along well with others, self motivated and work efficiently on my own and seeking a Remote/Full Time Position. Also have working experience with web research, data entry on web based applications, excel, word, Google products and PDF. 1. Managed Professional/Hospital billing for providers which includes Charges, Demographics, Charges, Payments, Clearing House Rejections, & Denials. 2. Manage Charges & Payment, Hospital / Outpatient Billing for internal medicine group, foot care, vision care, urgent care, neurology and psycho therapy care for Hawaii, Michigan, and New York providers. I have worked on full RCM cycle in the last 15 years from the given below • Demographics Entry o Insurance Eligibility and verification of patient’s health benefits from insurance carrier’s website and through Phone. o Create appointments on scheduler while receiving patient calls • Patient Demographic Entry, Payment Posting • Charge Entry • Claim Submission(Primary & Secondary Insurance) • Payment posting (insurance and Patient payments) • Rejection Reports • Basic coding • Authorization • Insurance Verification • Account Receivable / Follow ups o Accounts receivable analysis with corrective and preventive actions and decision making for Collections. o Strong claims follow up on denials from insurances like Medicare, Medicaid, BCBS Semi Government, Managed care and Commercial Insurances (Aetna, BCBS, Cigna, UHC, Oxford etc...) • Patient Calling With work experience on the following PMS and EMR Software • Akamai • Next Gen • Kareo • AdvanceMD • Med Gen * WoundCare Clearing House: • 3. Emdeon