Hanan Kamel
East Brunswick,NJ
Summary
Focused Billing Clerk with 14 years of experience. Skilled in building client and vendor rapport and managing accounts to reduce outstanding balances. Hardworking and energetic with passion for accuracy and efficiency.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Reimbursable Billing Technician
Veterans Affairs - Lyons VA Medical Center
10.2022 - Current
- Submit accurate and timely claims for all services provided.
- Understand contract terms and fee schedules for claim submissions.
- Verify service authorizations and attaches them to claims.
- Ensure clean claims and adjustment requests are submitted promptly.
- Review and apply payments correctly per fee schedules.
- Process secondary and patient bills promptly after primary payment.
- Alert the Reimbursement Supervisor to overpayments or duplicate payments.
- Transfer payments to appropriate offices within 48 hours.
- Contact insurers to verify claim receipt and processing status.
- Patient follow ups for unpaid claims.
- Generate and mail statements and collection letters.
- Resolve denials within 48 hours of receipt.
- Ensures compliance with contract terms, fee schedules, and HIPAA guidelines.
Medical Record Specialist Coder
Princeton And Rutgers Neurology
01.2013 - 01.2022
- Assigned and managed ICD, CPT, and HCPCS codes, ensuring compliance with evolving regulations.
- Monitored policy changes affecting coded data across VAMC services, maintaining database accuracy and cost recovery programs.
- Reviewed countless patient records to ensure complete data capture of medical, surgical, and administrative information.
- Supported staff in accurate documentation, coding regulations, reimbursement, and workload management.
- Coordinated with facility leadership and CPAC to resolve coding and billing issues, ensuring smooth workflow.
- Developed standardized coding guidelines and compliance materials for regulatory adherence.
- Analyzed and improves documentation systems for optimal reimbursement and resource management.
- Conducted trainings on coding software and provider documentation improvement.
Office Manager
Girgis Family Medicine
01.2011 - 01.2013
- Led a team of nine to streamline workflow for two primary care physicians.
- Managed training and implementation of new medical software, coordinating with staff, insurance companies, and vendors for EDI and data transfer.
- Ensured accuracy in patient demographics, benefits coordination, and care continuity.
- Supervised billing to ensure clean claims per LCD and NCD guidelines, maximizing revenue.
- Maintained accurate reports to track and resolve accounts receivable.
Education
Bachelor of Arts - English Literature And Composition
Accredited University
08.1992
Skills
- Medical Terminology
- ICD-9 & 10
- Coding
- Office Management
- Auditing
- E&M codes
- Stark Law
- CMS Guidelines Compliance
- NCD-LCD (National and Local Coverage Determination)
- Medicare Incentives
- AR
- Collections
- Denials
- Postings
- Data entry
- HIPAA Compliance
- CAQH-PECOS
- EPIC, Cerner, Athena, AMS-advancedMD, CollaborateMD, TEBRA, Practice Fusion
- Patient Account Management
Certification
- Certified billing and coding specialist (CBCS), #00559054, 08/01/11
- Certified electronic health record specialist (CEHRS), #2213-9054, 09/01/11
- ICD 10 CM code family practice & general, #35098XCH, #AAPC0601110813A, 10/01/16
Accomplishments
- Managed the transition from ICD-9 to ICD-10 by mapping commonly used codes for primary care, neurology & pain management.
- Updated key code grids monthly per National and Local Coverage Determinations.
- Led implementation and training for new medical software.
- Successfully transitioned practices from fee-for-service to value-based care.
Languages
Arabic
Native or Bilingual
Timeline
Reimbursable Billing Technician
Veterans Affairs - Lyons VA Medical Center
10.2022 - Current
Medical Record Specialist Coder
Princeton And Rutgers Neurology
01.2013 - 01.2022
Office Manager
Girgis Family Medicine
01.2011 - 01.2013
Bachelor of Arts - English Literature And Composition
Accredited University
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