I will do medical billing, payment posting and denial resolution

India

I speak Tamil, English

Medical Billing and Revenue Cycle Management Specialist

With 7+ years of experience in Medical Billing and Revenue Cycle Management (RCM), I help healthcare providers maximize reimbursements, reduce claim denials, and streamline billing operations. My expe...
About this Gig



1. Claim Creation and Submission

  • Preparing and submitting claims (CMS-1500 or UB-04) to insurance companies.
  • Ensuring accuracy in ICD-10, CPT, and HCPCS coding to minimize claim rejections.
  • Submitting claims through payer portals or clearinghouses.

2. Payment Posting

  • Posting insurance payments, patient payments, and adjustments with accuracy.
  • Reconciling EOBs (Explanation of Benefits) and ERAs (Electronic Remittance Advice).
  • Handling overpayments, underpayments, and credit balances.

3. Insurance Verification

  • Verifying patient eligibility and benefits before appointments.
  • Checking copay, deductible, and coverage limits.
  • Coordinating pre-authorization or prior approvals for procedures.

4. Denial Management

  • Identifying reasons for claim denials and rejections.
  • Correcting errors and resubmitting claims.
  • Preparing appeals to challenge denied claims effectively.

5. AR (Accounts Receivable) Follow-Up

  • Working on aged claims and contacting ins