Hi,
I have 8 years experience working with various Clinics in US. I have extensive knowledge of complete RCM (Revenue Cycle Management). I dealt all the following areas:
1. Verifying the eligibility of the patients (Online and on the calls)
2. Charge Posting
3. Filing the claims to insurance companies
4. Dealing with front end rejections
5. Dealing with denials and correcting the coding if required
6. Filing/Refiling the claims to secondary Tertiary payers
7. Appealing for the denials/rejections by preparing the appeal documentation in required format.
8. Good understanding about EOBs, ERAs, Check payments and EFT payments.
9. Payment posting and AR Follow up.
10. And also calling patients for co-ins and Co-payments.
I can review data, analyse and provide trends on revenue and denials if needed. I could also help you to identify the dark areas and give you suggestions (if required) on to improve the revenue.