Mikki Takashima

Experienced Medical Biller

Talent

Davao8 PHP/hourMember since May 30, 2026

Looking for a jobPrior AuthorizationsPrior-Authorization SpecialistCredentialing SpecialistPayment ReconciliationInsurance SpecialistHealthcare Administrative SupportCall SupportSubmit claims on time to the insurance companies (charge entry)HCPCS codesFollow coding guidelines and conventions to ensure accuracy and complianceAnalyze medical records and provider documentation to identify relevant codesEnsure coding reflects the medical necessity and completeness of servicesStay up to date with coding updates, guidelines, and regulationsIncorporate changes into coding practices to maintain compliancePrepare and submit electronic and paper claims to insurance companiesVerify the accuracy of claim information, including patient demographics, insuraMonitor claim status and follow up on denied or rejected claimsPrepare and submit appeals for denied claims, including providing necessary docuGenerate and send patient statements for outstanding balancesInsurance verification and eligibility checking by calling the insurance or checRequest prior, concurrent and retro authorizationEnsure compliance with coding and billing regulations, including HIPAA, MedicarePosting payments and reviewing remits if there are any recoupmentsApplying EFT and ERA in behalf of the providerExperience in credentialing and contracting for type 2 NPISubmitting AR reports to the healthcare providers to keep them updated

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Medical Billing

About

Experienced Medical Biller seeking to help and provide a good and excellent quality service to providers. To be part of a proactive and dynamic team wherein I can improve my skills and apply my knowledge and experience with the best of my abilities and to be considered being one of the assets in the company.

Experience

Medical Biller/RCM - Northeast Billing Group

(2018-11 - 2022-04)

Eligibility
Insurance verification
Requesting prior, concurrent and retro authorization
Charge entry/Capture for hospice with proper ICD-10 codes, revenue and modifier codes to avoid errors in billing and submitting it in timely manner
Claims status follow up through portal and call
Denial Management
Sending appeals and provider dispute resolution request to the health insurance
Fixing old claims (3 years old claims) due authorization and contract issues with the health plan
Payment posting
Updating AR reports and sending it to the provider
Applying credentialing and contracting to Health Plans for type 2 NPI. Coordinating with the client and gathering necessary documents for credentialing (i.e. licenses, certificates) and submit it to the health plan thru email for processing
Making sure each document is accurate and up-to-date before sending it to the insurance company

Medical Biller/RCM - RPM Medical Billing

(2022-04 - 2026-04)

Eligibility
Credentialing and contracting
Insurance verification
Requesting prior, concurrent and retro authorization
Charge entry/capture for hospice with proper ICD-10 codes, revenue and modifier codes to avoid errors in billing and submitting it in timely manner
Claims status follow up through portal and call
Denial Management
Sending appeals and provider dispute resolution request to the health insurance
Fixing old claims (3 years old claims) due authorization and contract issues with the health plan
Payment posting
Updating AR reports and sending it to the provider
Applying credentialing and contracting to Health Plans for type 2 NPI. Coordinating with the client and gathering necessary documents for credentialing (i.e. licenses, certificates) and submit it to the health plan thru email for processing
Making sure each document is accurate and up-to-date before sending it to the insurance company
Other revenue cycle–related administrative tasks as requested by Company
Assist patients concerns regarding their balance