Afsar Shah

Medical Biller

Working Remotely • Indépendant

Jan 2021 - Present • 5 yrs 4 mos

Claims Management: Submitting electronic (837) and paper (CMS-1500) claims with a focus on a high Clean Claim Rate (CCR). Denial Management: Analyzing Explanation of Benefits (EOB) and Electronic Remittance Advice (ERA) to identify and appeal denied or underpaid claims. Accounts Receivable (A/R) Follow-up: Monitoring aging reports (0–30, 31–60, 61–90+ days) to reduce "Days in A/R." Compliance: Ensuring all billing practices adhere to HIPAA regulations and ICD-10/CPT/HCPCS coding standards. Patient Advocacy: Explaining complex insurance benefits, deductibles, and co-pays to patients in a clear and empathetic manner. Patient AR Collection: Collect patient responsibilities, such as copays, coinsurance, and deductibles.