US Healthcare claim life cycle, functioning, different types of carriers, payment mechanisms, types of contracts and revenue cycle management (RCM).
Knowledge on claims processing, claims adjudication, reprising and contractual adjustments.
Immense knowledge on Medicare, Medicaid and Blue cross Blue shield claims.
Knowledge on patient demographics, charge posting and receipt posting.
Sound knowledge on Clearinghouse rejections.
Good at Online systems like Kentucky Medicaid, Indiana Medicaid and Navinet
Handled various specialties including ED, Internal Medicine and Anesthesiology
Knowledge on Workers compensations, No-fault, CLIA# and PCP related denials.