Fairba Minoo
Los Angeles,CA
Summary
Adept at enhancing revenue and reducing unpaid accounts through expert claims processing and denial resolution, I leveraged professionalism and HIPAA compliance to excel as a Medical Billing Specialist at Self Employed Web. My mastery in CPT coding and commitment to patient confidentiality underscore my achievements in this role.
Overview
24
24
years of professional experience
1
1
Certification
Work History
Medical Billing Service
Self-employeed
Los Angeles, CA
01.2005 - Current
- Investigated past due invoices and delinquent accounts to generate revenues and reduce number of unpaid and outstanding accounts.
- Assisted patients in understanding their bills and provided guidance regarding payment options.
- Confirmed patient demographics, collected copays and verified insurance.
- Reviewed and processed medical insurance claims for accuracy, completeness and compliance with insurance regulations.
- Remained up-to-date details of patient financial responsibilities, fee-for-service and managed care plans by participating in training programs.
- Interpreted coding instructions according to CPT and HCPCS codes when reviewing claim forms prior to submission.
- Demonstrated analytical and problem-solving skill by addressing barriers to receiving and validating accurate HCC information.
- Performed insurance verification, pre-certification and pre-authorization.
- Coordinated communications between patients, billing personnel and insurance carriers.
- Analyzed EOBs for accuracy and compliance with contractual arrangements between provider and payer.
- Maintained timely and accurate charge submission through electronic charge capture, including billing, and account receivables (BAR) system and clearing house.
- Processed credit card payments over the phone or internet using secure payment systems.
- Generated appeals for denied claims as necessary based on guidelines set forth by the provider's contracts.
- Reconciled codes against services rendered.
- Generated and distributed month-end statements for customers and resolved related concerns.
- Communicated regularly with patients to ensure timely payment of balances due.
Medical Billing Specialist
Self Employed Web
Los Angeles, CA
01.2001 - 12.2004
- Created monthly aging reports to identify delinquent accounts for review by management team.
- Contacted insurance providers to verify insurance information and obtain billing authorization.
- Processed refunds requests timely and accurately according to established protocols.
- Managed all payments processing, invoicing and collections tasks.
- Expedited payments by verifying accuracy and currency of vendor information.
- Created receiving reports and updated vendor balance sheets to record accounts payable.
- Handled billing, waivers and claims for private and commercial clients.
- Maintained up-to-date knowledge of government regulations related to healthcare reimbursement policies and procedures.
- Reviewed claims for coding accuracy.
- Weighed envelopes containing statements to determine correct postage and affix postage.
- Accurately input procedure codes, diagnosis codes and patient information into billing software to generate up-to-date invoices.
- Prepared detailed financial reports as requested by management team.
- Generated reports in order to track payments due from insurance companies or other third party payers.
- Assisted with collection efforts as needed including contacting patients via phone, mail or email for collection of past due balances due to insurance denials or patient responsibility amounts owed.
- Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
- Completed and submitted appeals for denied claims.
- Reviewed patient insurance information to ensure accuracy and completeness of claims submission.
- Communicated with insurance representatives to complete claims processing or resolve problem claims.
Education
Bachelor of Arts - Business Administration
California State University, Northridge
Northridge, CA05-1982
Skills
- Claims processing proficiency
- Professionalism and ethics
- Patient confidentiality practices
- Electronic health records management
- HIPAA compliance
- CPT coding
- Medical terminology mastery
- Accounts receivable management
- Denial resolution techniques
Certification
- Medical Billing and Coding Certificate
Timeline
Medical Billing Service
Self-employeed
01.2005 - Current
Medical Billing Specialist
Self Employed Web
01.2001 - 12.2004
Bachelor of Arts - Business Administration
California State University, Northridge
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