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Maheshbabu Moola

Maheshbabu Moola

Medical Biller, Charge Posting & Payment Posting
Hyderabad, Hyderabad

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About Maheshbabu Moola:

  • Worked on Patient registration as patient demographics, insurance details, and contact information.
  • Worked on Patient Eligibility Verification procedures to ensure billing correct                       Insurance & Receiving payments.
  • Validating Patient Demographic details in System with Insurance Web Portal to avoiding front-end & clearing house Rejection. 
  • Entered appropriate medical codes (e.g., CPT, ICD-10) to the procedures, diagnoses as per Superbill or Coded data.
  • Entered the coded services and associated charges into the healthcare organization's billing system or software.
  • Create insurance claims based on the entered charges. These claims are submitted to insurance companies for reimbursement.
  • Transmit the insurance claims electronically to payers or mail paper claims, depending on the insurance company's requirements.
  • Worked on Electronic Data Interchange and system EDITs. Work on Clearing house and payer rejections.
  • Experienced on Payment Posting as ERA’s and Manual posting
  • Processed daily payments from insurance companies and patients.
  • Posted payments to patient's accounts and verified medical insurance.
  • Payments are applied to the respective patient accounts, reducing the outstanding balances.
  • Regular audits and quality assurance checks are conducted to ensure accuracy in payment posting processes.
  • Reconciled insurance and patient payments on daily basis.
  • Research and resolve incorrect payments, like as Off Set balances.

Experience

  • Worked on Patient registration as patient demographics, insurance details, and contact information.
  • Worked on Patient Eligibility Verification procedures to ensure billing correct                       Insurance & Receiving payments.
  • Validating Patient Demographic details in System with Insurance Web Portal to avoiding front-end & clearing house Rejection. 
  • Entered appropriate medical codes (e.g., CPT, ICD-10) to the procedures, diagnoses as per Superbill or Coded data.
  • Entered the coded services and associated charges into the healthcare organization's billing system or software.
  • Create insurance claims based on the entered charges. These claims are submitted to insurance companies for reimbursement.
  • Transmit the insurance claims electronically to payers or mail paper claims, depending on the insurance company's requirements.
  • Worked on Electronic Data Interchange and system EDITs. Work on Clearing house and payer rejections.
  • Experienced on Payment Posting as ERA’s and Manual posting
  • Processed daily payments from insurance companies and patients.
  • Posted payments to patient's accounts and verified medical insurance.
  • Payments are applied to the respective patient accounts, reducing the outstanding balances.
  • Regular audits and quality assurance checks are conducted to ensure accuracy in payment posting processes.
  • Reconciled insurance and patient payments on daily basis.
  • Research and resolve incorrect payments, like as Off Set balances.

Education

B. Tech (CSE) From Dr. Samuel George Institute of Engineering Technology, Markapur. 

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