
Maheshbabu Moola
Healthcare
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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