What value can I add to your project and how could I be the best candidate for your project?
Well I love what I do, I'm serious about being a long-term success. My ultimate goal is to provide error free work and focus on continues improvement by applying Six Sigma Methodology in service delivery for my clients.
Though I am a new freelancer but I have 10 years of experience in USA healthcare Industry (Medical Billing), HIPAA privacy rules, Management skills, Six Sigma and Quality Compliance. I have worked on all segment of Medical billing and also did quality check for same. Please see my portfolio and attached PPT on medical billing. I am willing to work with you on long term basis. You may see my services on trial basis and then decide about my candidacy for the project. I assure timely delivery of the task with quality. I have excellent communication and management skills, virtual assistant task via Skype. I am accurate, quick learner, and have ability to follow instructions and to perform multitask to meet deadlines. Apart from this, I am proactive, self starter and can carry out various activities without supervision, team player. Most of the time I am available on Skype or e-mail me for a fast and hassle free communication.
I began my career as an AR executive with a NASDAQ listed company where I performed various activities. I have worked as Project Manager and Quality Controller with some of the top most USA healthcare outsourcing company. I have established several new processes of medical billing and both my Client and the Company is happy and making profit. I am Six Sigma Green Belt certified and have completed lean and asset and Quality certificate courses. I have received several awards and certificates for my work like Best QCA of the year 2012, one Gold and Silver star for best performance, Star performer of all quarter.
My expertise is in several areas of Medical billing and Legal fields. I have worked on all function of medical billing (Patient registration, Insurance Verification, charge entry, coding, Payment posting, AR follow up, Collection and Refund) and also did quality check for same. I have also prepared training manual for AR and payment posting. I always try to identify opportunity to improve billing cycle and focus on continuous improvement in process by applying six sigma methodologies. I have worked for below mentioned specialties of provider’s claim.
Specialties
• Anesthesiology
• Chiropractic
• Dermatology
• E&M
• Family Practice
• Gastroenterology
• General surgery
• Gynecology and obstetrics
• Internal Medicine
• Orthopedic
• Pathology
• Physical Medicine and Rehabilitation
• Physical Therapy
• Psychiatry
• Neurology
• Radiology
• Skill Nursing Facility
I have exposure of working on below mentioned functions of Medical billing and also did quality check for same.
• Patient Registration
• Insurance Verification
• Pre Authorization Request and verification
• Charge Posting / Super bill review
• Evaluation of valid HCPCS codes, ICD 9-10 and Modifier
• Work on Edits of rejected electronic claims
• Checking clearing house reports (Emedeon, Availity)
• Provider PIN calling ( for verifying provider TAX id, NPI and billing address)
• EOB and check search via websites and batches
• Payment Posting
• AR Follow up on denied claims via call or websites
• Appeal project
• Collection / Refund
Current Job Responsibility
Daily audit of sample size.
Publishing weekly /monthly dashboard, production and accuracy report to client.
Working on new projects to improve process accuracy and productivity.
Doing calibration with QCA, Team leader and SME to reduce process variances.
Tracking or identifying root causes and process variances.
Conducting PKT (Process knowledge test) to bridge the knowledge gap.
Suggesting corrective actions, implementing solutions and reviewing implementation
Providing feedback and refresher training to individual and team.
Doing remotely and side by side audit of associates
Analyzing trends in quality check data and finding variations and their root causes.
Work Experience of Software
I have work experience of below mentioned software in medical billing. I have very good grasping power so it will not take much time to navigate new software.
1. Medical Manger ( MM 9 and 10 version)
2. Flowcast
3. Groupcast
4. Park
5. Confluence
6. Appointment manager
7. Encoder Pro
8. Footprints
9. Citrix
10. MSI Imaging
11. Imaging Viewer
Major follow up Insurance
• Medicare
• Medicaid
• BCBS
• Aetna
• UHG
• Cigna
• Zurich
• ACM
• Sedgwick
• SCIF
• Chartis
• Oxford
