Mikki Takashima

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.

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

Bachelor of Science - Computer technology - University of Southeastern Philippines (2014-06 - 2018-06)