Documents needed for
Reimbursement Claims submission are as under:
Not exact matches
Excellent company - quick and easy
claim submission forms and fast turnaround with the
reimbursement check!
The
reimbursement checks usually arrive within 2 weeks of
claim submission.
Their
claim submission and
reimbursement process is simple and straightforward, and can be processed completely online.
Their app makes
submission of
claims and
reimbursement a breeze - with very quick turnarounds.
Best aspects: no lifetime maximum coverage, excellent customer service (I contact them via email, and the turnaround is remarkably quick), quick
reimbursement (within 2 weeks of submitting a
claim), simple
claim submission process, and competitive prices.
Travel medical insurances are short time emergency medical insurance plans and require
claim submission and
reimbursement.
• Working knowledge of ICD - 9 and ICD - 10 and OASIS • Excellent skills in reviewing delinquent accounts and creating avenues for overdue payments • Demonstrated expertise in translating medical procedures into codes that can be easily translated by payers and medical facilities • Proficient in appropriately and confidentially handling patient treatment, diagnosis and procedural information • Well - versed in investigating rejected
claims and ensuring that they are resubmitted and paid • Special talent for investigating insurance fraud and determining ways to counter / avoid sticky situations • Skilled in verifying and completing charge information in company defined databases • Familiar with documentation needs (and manners of obtaining them) for insurance
claims submission and approval • Qualified to work efficiently with external collection agencies to ensure maximization of
reimbursement • Particularly effective in handling appeals for denials by employing exceptional knowledge of carriers and appeal processes • Special talent for increasing
reimbursements by investigating denied
claims and providing alternatives to denials
• Track record of overseeing and leading the operations of the billing department with special focus on coordinating modules such as medical coding, charge entries,
claims submissions and payment postings • Documented success in handling
reimbursement management activities and performing follow - ups on delinquent accounts • Adept at auditing procedures to monitor efficiency and implement measures for improvements
Medical Billing Manager BRONX MEDICAL CENTER, Bronx, NY 6/2012 to Present • Lead medical billing and collection processes by handling calls and correspondence on all overdue balances • Coordinate efforts with management to develop meaningful metrics and ensure that they are achieved • Develop and train team members to carry out specific medical billing, coding and collection activities • Oversee the operations of the billing department to ensure coordination of medical coding, charge entries,
claims submissions and payment postings • Follow up on accounts receivables and handle
reimbursement management duties • Analyze billing and
claims for accuracy and completeness and ensure that
claims are submitted to appropriate insurance entities • Prepare and analyze accounts receivable reports and insurance contracts • Audit present procedures to monitor and improve the efficiency of billing and collection procedures • Participate in the development and implementation of operating policies and protocols • Realign staff members to meet changing trends impacting coding, collections and accounts receivables
Medical Coding Training: The online medical billing classes offered by the AAPC are aimed at teaching you the ins and outs of the medical billing industry, including the process of
claims submission and Medicare, Medicaid, and third - party
reimbursement.
Tags for this Online Resume:
REIMBURSEMENT, EMPLOYEE MANAGEMENT, INSURANCE VERIFICATION, OPERATIONAL PROCEDURES, CUSTOMER SERVICE, MEDICAL TERMINOLOGY, DIAGNOSIS, PBM
CLAIM SUBMISSION, CASE MANAGEMENT, PRICING NEGOTIATION, PRE-DETERMINATIONS