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Senior Medical Billing Insurance & Claims
Senior Medical Biller at Medical Resources and Solutions, resolving denied claims and supporting reimbursement.
United StatesSenior Medical Billing Insurance & Claims at Medical Resources and Solutions
Manage full-cycle billing for hospital-affiliated clinics and outpatient practices, including Medicare and Medicaid claims. Perform AR analysis, claim status follow-up, appeals, and payment posting to optimize reimbursement.
CernerEpicAthenaHealtheClinicalWorksNetsmart MyAvatarDrChronoPractice FusionKareoAdvanced MDOffice AllyChiroTouchMedicareMedicaidICD 10 CMCPTHCPCSHIPAACMSAccounts ReceivableDenial ManagementPayment PostingEligibility VerificationAuthorizationClaim SubmissionAppeals
Submitted provider enrollment applications for Medicare, Medicaid, and commercial payers, ensuring timely activation. Verified credentials, monitored deadlines, and maintained enrollment data in CAQH and NPPES.
CAQHPECOSNPPESMedicareMedicaidCommercial PayersCredentialingRevalidationProvider EnrollmentCMSNCQAJoint CommissionEFT EDI ERAPayer PortalsData Accuracy
Bachelor in Medical Technology degree from Flinders University, completed from June 2015 to August 2019.
Bachelor in Medical Technology degree from Flinders University, completed from June 2015 to August 2019.
Holds a HIPAA certification.
Profile sourced from Himalayas.