Medical Biller Manager & Administration Software Using – eClinical 12.0 at Essential Women's Healthcare (2023-10 – 2026-05)
OB GYN
- Create claim from encounter and scrubbing
- Claims submission (Electronic & Paper)
- ERA payment posting and Manual
- Account Receivable (Denial Claim)
- Bank Reconciliation
- Revenue cycle management
- Submitting Appeals and Follow ups
- Medical records and appeal submission
- Patient outstanding balance collection
- Print and mail patient statement
- Set up Clearing house as TriZetto
- Setup all payer payment direct bank deposits/Provider portal
- Set up collection agency
- Set Up EFT payments/ ERA's
- Credentialing & recontacting with payers
- Set up Provider Account [payer accounts online (Availity, Pear portal etc.)]
Medical Biller Software Using - Aprima at Avenel Iselin Medical Group (2022-03 – 2022-12)
PCP, P, etc.
- Account Receivable (Denial Claim)
- ERA payment Posting
- Enter and edit ICD 10 codes and CPT codes into medical billing Aprima Software
- Preparing and submit medical claims electronically using billing software and send out paper claims as well
- Post payments/denials/co-pay and deductibles to patients' account
- Claims scrubbing
- Credit card payment via check, mail, web, manual
- submitting Appeals & follow ups
- doing PCP/PA/Specialist providers Billing work
- Patient account Collection
- Patient coordination
Medical Biller – eClinical Works at Oaktree Patient Care (2020-12 – 2021-11)
PCP
- check patients Eligibility
- ERA Posting
- Enter and edit ICD 10 codes and CPT codes into medical billing eClinicalWorks
- Preparing and submit medical claims electronically using billing software and send out paper claims as well
- Post payments/denials/co-pay and deductibles to patient's account
- Claims scrubbing
- Communicate with insurance providers with any issues and documenting their action item
- Preparing referral and medical authorization
- Payroll
- Account Receivable entry
- Solve EOB's inquiries
- Mailing, Scanning Etc.
- Checking Claims status in Novitas, Navinet, Availity
Account Assistance at R M Metal (2019-03 – 2020-03)
- Making purchase order and Order confirmation
- Inventory management and control
- Handling warehouse Invoice & Scrap Invoices
- Import & Export Documentation
- Account Payable & Account Receivable
Senior Accountant at S K.Sheth & Co. (2003-11 – 2010-05)
- Finalization of accounting
- Preparing Balance sheet and file Income Tax Returns
- Sales Tax Returns
- Tax Audit
- Vat Audit
- Bank Auditing
Senior Accountant/Manager at Shree Gujarati Seva Mandal (2003-06 – 2003-10)
- Finalization of accounting
- Preparing Balance-sheet and file Income Tax Returns
- Auditing
Accountant at Image Computer (2002-06 – 2003-05)
- Book Keeping/Finalization of accounting
- Preparing Balance sheet and file Income Tax Returns
- Sales Tax Returns
- Bank Audit/ Statutory Audit
- routine office management
