Results-oriented Medical Billing Specialist with extensive expertise in EPIC and NextGen systems. Demonstrates proficiency in analyzing revenue cycle reports, optimizing processes, and ensuring adherence to Medicare and Medicaid regulations.
Overview
25
25
years of professional experience
1
1
Certification
Work History
Medical Billing Specialist
Rattandeep Singh, M.D., P.C.
Atlanta, GA
03.2021 - 08.2025
Reached out to responsible insurance companies and individuals to collect on outstanding balances on a timely basis.
Claim edits and registration correction in EPIC system
Identify and submit primary, secondary claims to insurance
Input insurance payments and adjustments to accounts
Work claim denials in EPIC workques and submit in writing appeal letters on denied claims for physician
Contacted insurance providers to check patient coverage.
Collected and processed copayments and out-of-pocket charges
Provided necessary health education training for patients.
Set and managed patient appointment schedules using EPIC system
Updated customer accounts with interactions, payments and personal information.
Assisted in performing front office duties such as check-in and check-out patients
Assisted patients with billing issues and questions about insurance coverage
Charge entry in EPIC system
Insurance and patient payment posting in EPIC system
Retrieve remittance advice from Waystar Revenue Cycle Management Solutions
Analyzed account receivables and corrected all problem in EPIC and Waystar
Collections Representative
Universal Health Services, Inc. (Peachford Hospital)
Atlanta, GA
12.2020 - 03.2021
Reports trends or information pertinent to insurance claims, provider, or system issue to management
Claims submission to insurance companies.
Submitted medical records to insurance
Contacted insurance providers to check claim status
Worked to meet productivity and collections goals including dollars collected and accounts handles as well as reducing rates of delinquent accounts
Revenue Cycle Representative III
Piedmont Healthcare Physicians Group
Atlanta, GA
05.2007 - 03.2018
Identified and corrected payment problems involving patients or third-party payers.
Reached out to responsible insurance companies and individuals to collect on outstanding debts on claims.
Submitted claim appeals in writing regarding denied claims.
Evaluated accuracy and compliance of all documentation and reports.
Ability to analyze and assess Revenue Cycle reports, workflow, and processes.
Notified management with patient account and insurance issues.
Reports trends or information pertinent to insurance claims, provider, or system issue to management.
Resubmit claims as necessary.
Performed charge entry and payment posting.
Composed correspondence to insurance payers, third parties, and patients regarding the resolution of outstanding balances and claim appeals.
Communicated with all partners throughout the organization including managers, physicians, front and back office staff about making sure operation are running smoothly and solve problems regarding patients and/or claims.
Analyzed account receivables and corrected all problem.
Worked to meet productivity and collection goals including dollars collected and accounts handled as well as reducing rates of delinquent accounts.
Ability to function as a trainer and lead.
Assisted and participated in creation of training manuals and job aids for their respective area of expertise.
Received an award for providing suggestions and recommendations to Leadership Committee for ways to improve the work environment.
Medical Billing Representative
Peachtree Pulmonary
Atlanta, GA
01.2001 - 04.2007
Reached out to responsible insurance companies and individuals to collect on outstanding debts on a timely basis.
Perform charge entry and payment posting.
Submitted claims to insurance companies.
Submitted in writing appeal letters on denied claims for physicians
Contacted insurance providers to check patient coverage.
Collected and processed copayments and out-of-pocket charges using Mediware.
Provided necessary health education training for patients.
Set and managed patient appointment schedules using Mediware.updated customer accounts with interactions, payments and personal information.
Completed administrative tasks such as recordkeeping, writing correspondence and gathering materials.
Managed accounting operations, accounting close, account reporting and reconciliations.
Set up NPI numbers for providers and facilities and updated current profile information.
Completed physician enrollments into Medicaid, Medicare and private insurance pla
Assisted patients with billing issues and questions about insurance coverage
Education
Certification - Medical Billing and Coding
National Institute of Technology
Atlanta, GA, United States
Some College (No Degree) - Early Childhood Education
Sinclair Community College
Dayton, OH, United States
Skills
EPIC and NextGen systems
Meditech and PrognoCIS
Emdeon and Navicure
Star and Navinet
Availity and Waystar
Microsoft Office applications
Claims review and processing
Regulatory interpretation
Medicare and Medicaid regulations
HMO, PPO, and indemnity plans
Commercial insurance expertise
Patient registration processes
Insurance verification techniques
Patient liability collections
Medical terminology proficiency
HIPAA compliance knowledge
Multi-specialty practice management
Internal medicine management
ICD-10 coding expertise
CPT coding skills
CMS-1500 form completion
Explanation of Benefits (EOB) interpretation
References
Upon Request
Affiliations
Cooking
Arts and Crafts
Accomplishments
Recognition Awards for Work Ethics
Recognition for Patient Satisfaction
Certification
Medical Billing and Coding Certification
References
References available upon request.
Timeline
Medical Billing Specialist
Rattandeep Singh, M.D., P.C.
03.2021 - 08.2025
Collections Representative
Universal Health Services, Inc. (Peachford Hospital)
12.2020 - 03.2021
Revenue Cycle Representative III
Piedmont Healthcare Physicians Group
05.2007 - 03.2018
Medical Billing Representative
Peachtree Pulmonary
01.2001 - 04.2007
Certification - Medical Billing and Coding
National Institute of Technology
Some College (No Degree) - Early Childhood Education