Hi! This is Mariz a seasoned virtual Medical Biller with over a decade of comprehensive experience in customer service, insurance verification, medical billing, and accounts receivable. Proven track record in managing complex administrative tasks and delivering exceptional customer support in high-pressure environments. Adept at streamlining processes to enhance operational efficiency and accuracy. To begin, I have extensive experience working with providers across the United States (i.e. Wound Care, Primary Care, Urgent Care, Family Medicine, Chiropractic, Nephrology, Endocrinology, Podiatry, Dermatology, Ophthalmology, Cardiovascular Disease etc.) Major Insurance Companies handled and locations * Medicare Health Plan (Oklahoma, Texas, Florida, Louisiana, Georgia, Arizona, Nebraska) * Medicaid Health Plan (Oklahoma, Texas, Florida, Louisiana, Georgia, Arizona, Nebraska) * Humana, Aetna, Blue Cross and Blue Shield Plans, WellCare, Molina Healthcare, United Healthcare Group and other commercial plans. * ChampVA, Tricare East, Tricare West, Tricare for Life, Tricare Supplement Insurance What I do best are: REVENUE CYCLE MANAGEMENT - Entering accurate demographic information into the EHR systems such as eClinicalWorks (ECW), Tebra (Kareo) and AdvancedMD, Net health (WoundExpert). - Proficient in using a range of systems and portals for efficient healthcare administration. This includes proficiency with Availity, Gateway (TriZetto), Medicare, and Medicaid portals, as well as other relevant websites. - In-depth benefit and insurance verification - Precertification/preauthorization - Charge Entry - Electronic and Paper Claims submission - Claims Follow Up/ AR Follow Up - Claims dispute and Appeals - Interpret and Explain EOBs. - Posting payments from Insurance Companies and Patients - Audit medical records - Experience in handling MVA and Worker's Comp claims. CUSTOMER SERVICE SPECIALIZATION - Handling Customer Service for Humana providers and members. - Quotation for eligibility and benefits of patients. - Providing information for claims process inquiry, claims status, and claims denials. - Processing Appeals for Denied Claims. - Providing easy communication between Health Care Providers and Medical Billers. I would love to discuss how my skills align with your needs, and I look forward to the opportunity to contribute to your office. Have a discover call with me! live:.cid.2d11f1015a1c7529