I will claim submission and ar followup and denial management

Pakistan

I speak English, Spanish

Medical Billerl RCM Manager l AR l Credentialing

As a skilled and certified medical billing and coding professional, I offer expert services to help healthcare providers streamline their billing and ensure accurate claim submission. With strong know...
About this Gig

I'm an experienced medical billing professional with over 5 years of expertise in claim submission, accounts receivable (AR) follow-up, and denial management services. Ive worked with providers across the U.S. in specialties like urgent care, internal medicine, behavioral health, family medicine, chiropractic, radiology, and more.


My Expertise Includes:


Claim Submission

  • Scrubbing and submitting clean claims electronically and via paper
  • Ensuring CPT, ICD-10, and modifier accuracy
  • Managing clearinghouse rejections and resubmitting corrected claims
  • Submitting secondary and tertiary claims promptly

AR Follow-Up

  • Following up on unpaid claims with insurance portals and phone calls
  • Prioritizing high-value and aging claims
  • Updating billing systems with payer feedback
  • Collaborating with teams to reduce outstanding AR

Denial Management

  • Reviewing ERAs/EOBs to identify denial reasons
  • Correcting and resubmitting denied claims
  • Filing timely appeals with medical records and justifications
  • Reporting denial trends and suggesting prevention strategies


I work with commercial and government payers including Medicare, Medicaid, BCBS, Aetna, Humana, Molina, Aetna, and all other major payer

Domain:

Data

Industry:

Medical & pharmaceutical

Language:

English