A/R PRACTICE MANAGEMENT FIRM LLC
Gastonia,NC
Summary
A/R (Accounts Receivable) Practice Management Firm is a HIPAA compliant, full-service medical billing and consulting firm established in 2019 located in North Carolina. We service Practitioners of all specialties. We, also, service Private Corporations as well as Federally Qualified Health Centers nationwide.
Our mission is based on three powerful words: Efficiency, Accuracy, and Compliance. We have revamped the traditional claim life cycle process with guarantees of minimum errors and maximum reimbursement. A HealthCare Professionals primary focus is to provide exceptional patient-centered care. At A/R Practice Management Firm, our primary focus will always be to make certain our Health Care Professionals are appropriately compensated for services rendered.
Overview
15
15
years of professional experience
Work History
Medical Biller and Coder
Advanced Urgent Care Florida
10.2021 - Current
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Resourcefully used various coding books, procedure manuals and on-line encoders.
- Reviewed patient charts to better understand health histories, diagnoses and treatments.
- Used EClinical Works to assign procedure and diagnostic codes to patient records for billing purposes.
Medical Biller and Coder
Solutions 4 Community Health
04.2016 - 12.2022
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes for Federally Qualified Health Centers.
- Set up and maintained new electronic billing system.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Liaised between patients, insurance companies and billing office.
- Posted payments and collections on regular basis.
- Collected payments and applied to patient accounts.
- Utilized active listening, interpersonal and telephone etiquette skills when communicating with others.
- Used EClinical Works to assign procedure and diagnostic codes to patient records for billing purposes.
- Trained new employees on multiple medical billing programs and data entry software.
Medical Billing Representative
Mid Hudson Medical Group
07.2008 - 06.2015
- Accurately review and enter claims, ensure approved CPT, modifier(s), and ICD-10 attachment, submit electronic and paper claims to commercial, government, federally qualified health centers, workers’ compensation, research and respond to documentation requests from insurance carriers in a timely manner, review EOBs/ERAs, post insurance and payment patient payments, file appeals as needed and follow up until resolved, run A/R reports monthly and follow up on all outstanding and underpaid claims and patient balances, perform coding audits quarterly, alert management to insurance trends and areas of concern with reimbursement, answer all patient and insurance company billing inquiries, retrain front desk staff on how to effectively perform intake and insurance information, confirm eligibility and verification of benefits, obtain prior authorization, surgical scheduling, credentialing, adhere to all HIPAA guidelines and regulations.
Education
CERTIFICATION - Certified Medical Coder
American Academy of Professional Coders
Salt Lake City, UT02.2017
CERTIFICATION - Certified Medical Biller
American Academy of Professional Coders
Salt Lake City, UT01.2019
Skills
- Accounts Payable and Receivable
- Financial Records and Reporting
- Office Organization
- Account Analysis
- Monthly Reconciliations
- Performance Analytics
- Payment Reviewing
- AR Reporting
- Aging Balance Management
- Auditing Support
- Billing and Collections
- Excellent Team Leadership
Timeline
Medical Biller and Coder
Advanced Urgent Care Florida
10.2021 - Current
Medical Biller and Coder
Solutions 4 Community Health
04.2016 - 12.2022
Medical Billing Representative
Mid Hudson Medical Group
07.2008 - 06.2015
CERTIFICATION - Certified Medical Coder
American Academy of Professional Coders
CERTIFICATION - Certified Medical Biller
American Academy of Professional Coders
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