Being a Billing Supervisor my job responsibilities were:

 Assigning codes to patient Medical Records of moderate to high complexity using ICD-10, CPT and HCPCs codes in accordance with coding rules and regulations.
 Maintains work operations by following policies and procedures; reporting compliance issues.
 Compliance record reviews for multiple physician specialties billing departments, coders and administration to guidelines established by CMS, AMA.
 Serve as a consultant or advisor to clients by reviewing client’s billing policies, providing advice on enhancing current billing policies based on extensive knowledge of regulations and best practices to improve the client’s reimbursement.
 Provide appropriate documentation and training to ensure knowledge and compliance with each client’s policies and expectations.
 Accomplishing client’s requirements in given time span and other duties or special projects as assigned.
 Distributing tasks to Team Leads and providing guidelines to all team members to get their tasks done smartly.
 Training for new employees related to Medical billing cycle and manage a team of 34 Members’.

Being a Quality Assurance Executive my job responsibilities were:

 Manage daily coding and reimbursement abstracting for multiple Practices.
 Identify billing errors for correction and resubmit claims to insurance carriers.
 Responsible for the timely submission of professional medical claims to insurance companies including physician offices, hospitals, nursing homes, or other health care facility.
 Specialties: Coding experience in the following specialties (Neurology, Pain Management, Internal Medicine, Family Practice, Pediatrics, Gastroenterologist, Cardiologist, Pulmonology etc.).
 Provide educational feedback to physicians, billing departments, coders and administration
 Measure and analyze agent activities for redundant deficiencies
 To generate Qualitative Analysis report of around 16 employees

Being a Quality Assurance Executive my job responsibilities were:

 Daily key punching into computer when needed to assure accuracy of billing for all services rendered in patients account.
 Ensure completion of documentation and coding on the Route Slip and EMR when needed on charges entered in patient’s accounts for a correct and complete billing claim.
 Monthly input of all ancillary services to include Health Education Services encounters into the computer to assure accuracy of services rendered.
 Daily review of all postings before claim submission.
 Daily closing and balancing of day posted.
 Enter cash receipts if needed and assure correct allocations, distribution in accordance with the established protocol.

Being a Team Lead my job responsibilities were:

 Working on Neurology, Gastroenterology, Pulmonology, Internal medicine and Pediatrics practices.
 Responsible for the timely submission of professional medical claims to insurance companies.
 Payment posting on ERAs / Verity everything is posted correctly & Insurance Paper Checks/Patient Check/CC Payment posting.
 Denials Management
 Patient Scheduling
 Review and prepare claims for manual and/or electronic billing submission. .
 Review Insurance EOB's and initiates appeals as necessary.
 Submits copies of medical documentation as required or requested by third party payers.
 Keep current with all commercial and managed care pricing models, rules and regulations.
 Maintain a professional attitude.
 Maintain confidentiality at all times.
 Manage a team of 16 Members.

Being a Medical Billing Executive my job responsibilities were:

 Working on Internal medicine, Gastroenterology and Psychiatric practices
 Download daily work received in fax, drop box, shared drive, FTP server and Emails.
 Prepare daily work status at day start and day end.
 Processing of office, hospital, emergency room and nursing home claims.
 To validate claims before sending them to insurances.
 Review clearing house reports and resolves rejections if received.
 ERA and EOB Payment posting.
 Review denials and resolve them.
 Prepare and update problem lists.
 To do other operational tasks as required.