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Explorer
Fiverr Pro
Français
$
USD
Ansar A
@ansarshamsi
Pakistan
Anglais
À propos de moi
Welcome! I'm a dedicated Revenue Cycle Management (RCM) Specialist and Prior Authorization Expert with over 5 years of experience supporting healthcare providers and billing companies across the U.S.
I specialize in streamlining the medical billing process to ensure faster reimbursements, reduced denials, and improved revenue performance.
Compétences
Ansar A
hors ligne •
Voir mes services
Assistance générale
I will provide professional medical billing and rcm services
Expérience professionnelle
BellMedEx Medical Billing and Revenue Cycle Management Services
Temps plein • 5 yrs 4 mos
RCM Specialist And Authorization Specialist
Sep 2022 - Present • 4 yrs 1 mo
Managed end-to-end Revenue Cycle Management (RCM) activities for U.S. healthcare providers. Performed insurance eligibility and benefits verification and reviewed patient insurance information. Handled prior authorizations, including insurance requirements, authorization requests, follow-up, and status verification. Submitted and followed up on medical claims with Medicare, Medicaid, and commercial insurance payers. Performed AR follow-up on outstanding claims and contacted insurance companies to resolve payment issues. Investigated and resolved claim denials, rejections, underpayments, and unpaid balances. Reviewed EOBs/ERAs and performed accurate payment and adjustment posting. Worked on denial appeals, corrected claims, timely filing issues, and payer-specific requirements. Communicated with insurance representatives to obtain claim status, authorization information, and payment details. Maintained accurate billing documentation and followed client-specific workflows and payer guidelines. Supported healthcare providers in improving collections and reducing outstanding accounts receivable.
Follow up Specialist
Feb 2019 - May 2020 • 1 yr 3 mos
Managed end-to-end Revenue Cycle Management (RCM) activities for U.S. healthcare providers. Performed insurance eligibility and benefits verification and reviewed patient insurance information. Handled prior authorizations, including insurance requirements, authorization requests, follow-up, and status verification. Submitted and followed up on medical claims with Medicare, Medicaid, and commercial insurance payers. Performed AR follow-up on outstanding claims and contacted insurance companies to resolve payment issues.
Account Manager
MTBC International • Temps plein
May 2016 - Aug 2018 • 2 yrs 3 mos
Managed end-to-end medical billing and revenue cycle management activities for U.S. healthcare providers. Performed insurance eligibility and benefits verification and reviewed patient demographics and insurance information. Submitted and monitored electronic and paper medical claims to various insurance payers. Conducted Accounts Receivable (AR) follow-up on outstanding claims and contacted insurance companies regarding claim status and payment issues. Researched and resolved claim denials, rejections, underpayments, and unpaid balances. Reviewed EOBs/ERAs and accurately posted insurance and patient payments. Worked on denial management, claim corrections, appeals, and timely filing issues. Maintained accurate billing records while following payer guidelines and client-specific billing requirements. Communicated with insurance companies and healthcare clients to resolve billing and reimbursement issues. Supported providers in improving collections, reducing outstanding AR, and maintaining a healthy revenue cycle.
