Extensive knowledge in medical billing processes and healthcare administration including surgery scheduling and insurance authorization referral process. Accurate claim submissions and timely reimbursement. Known for effective communication and problem-solving skills, consistently meeting needs of healthcare providers.
Post manual office and hospital professional fee charges accurately. Implemented required modifiers while verifying correct CPT and ICD-10 codes. Checked prior authorizations to ensure compliance with billing regulations. Verified patient insurance details for accurate billing submissions. Utilized knowledge of Medicare, HMO, PPO, and Medi-Cal billing and referral processes. Responsible for large-volume billing for ENT, Pulmonology/Critical Care, and Neuroscience specialties.
Medical surgery and scheduling process Insurance authorization and referrals Medical billing office and hospital professional charges Experience with large volume patient accounts