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Gaurav V. | Elance
 
176985602337900
Last Sign-in: Apr 28, 2016

Gaurav V.

Medical Billing/AR/Denials/Coding Professional
   India
  |   Delhi, Delhi
  |  1:58 am Local Time

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Gaurav V.'s identity has been verified.  Learn More

Overview

Minimum Hourly Rate $11

I am self-starter, result-oriented person. I am MBA with having the experience into End-to-End US Healthcare Medical Billing (RCM) Domain for more than 12 years. I have extensive Experience in Medical Billing/AR/Coding/Denials/Authorizations, etc..

Would be my pleasure to provide you my services.

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Portfolio

Successfully completed Medical Billing Process Certification, as having an extensiv...
Successfully Completed Revenue Cycle Management (RCM) Certification
Successfully completed Practice Management Certification
Successfully completed General Billing Certification
Successfully completed Conversion of ICD-9 to ICD-10 Certification
Successfully completed ICD-10 Certification
Successfully Completed HIPAA Certification
Received the Training from the Expert Professionals from the Government of India, and...

Skills (10)

Tested
Medical Billing
My Score
avg
Accounts Receivables
Denials Handling
Authorizations
Claims creation and generation
Charges and Payments
Demographic Entries
Revenue Cycle Management
Medical Coding
Eligibility Verification

Service Description

a) Medical Billing Services includes the following:-
- To check Eligibility and verification of patient¿s health benefits from insurance carrier¿s website and Via Phone.
- Create appointments on scheduler while receiving patient calls
- Full patient demographics and charge entry
- Insurance claims submission (primary, secondary or tertiary)
- Accounts receivable analysis and decision making for Collections
- Strong claims follow up on denials from insurances like Workers Comp, Government payers, Managed care and Commercial Insurances (Aetna, BCBS, Cigna etc...)
- Patient billing inquiries as per received information from your office
- To check claim status from insurance auto response unit and via live calls.
- To make on call appeals for reprocessing of incorrectly processed claims based on billing knowledge
- ICD9, CPT and HCPCS Coding and/or review
- Monthly and annual reports preparation
- Custom reports where required
- Patient billing as per instructions
- Credentialing guidelines
- Consulting/Training
- Super bill review
- Appeals

(b). Medical Coding
- To research the correct DX and CPT code according to medical records
- Provide right DX pointers for the first time to avoid payment delays
- Suggest appropriate modifier for maximizing the revenue

(c). Specialties
- Otology
- Family Practice
- Dermatology
- Podiatry
- Orthopedic Surgery
- Cardiology
- Internal Medicine
- Sports Medicine
- Pediatrics
- Pain Management
- Anesthesia
- Ophthalmology
- Psychiatry
-...

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Education

Amity University, Noida
Masters in Business Administration
-
All India Management Association, Delhi
Post Graduate Diploma in IT & Management
-
Overview  |  Job History  |  Portfolio  |  Resume/C.V.

Keywords

Medical Billing
US Healthcare
RCM
Revenue Cycle Management
Denials Specialist
AR Specialist
Coding Specialist.
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Identity
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gv1981
Type
Individual
Member Since
June 2014
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Gaurav V. | Elance

Gaurav V.