EPIC
Imran Dar
MEDICAL BILLING SPECIALIST
Flanders
Summary
A committed and meticulous Medical Biller, I boast a solid history of accurately and swiftly managing medical claims, bolstered by proficiency in Epic software. Skilled in maneuvering through intricate billing systems, I bring robust analytical prowess and stellar communication abilities to collaborate effectively with healthcare providers and insurers. Eager to leverage my expertise in medical billing, I aim to become a part of a vibrant healthcare institution committed to delivering outstanding services.
Reliable Medical Biller with coding and medical terminology knowledge. Polished and hardworking performer with background overseeing accounts and handling records management tasks. Team-oriented person with great decision-making skills.
Detail-oriented professional with focus on deadlines and skilled in handling medical billing without errors. Confident Medical Biller knowledgeable in data confidentiality and privacy practices when reviewing patient information.
Overview
6
6
years of professional experience
2
2
years of post-secondary education
3
3
Languages
Work History
Medical Billing Specialist
Physician Revenue Group
Downers Grove, IL
02.2022 - 01.2025
- Utilized various healthcare software systems including Epic, Athena Health, eClinicalWorks, Health Fusion, Genesis, Cerner, Tebra, and All Script for daily tasks.
- Used Epic on a daily basis to manage assigned work queues, obtain medical records, authorizations, referrals, and verify patient insurance and demographic information.
- Conducted Accounts Receivable (AR) follow-up on denied, unpaid, and underpaid claims, rejections, collections, Explanation of Benefits (EOB), claim edits, and secondary billing.
- Verified eligibility and benefits with all payers and ensured compliance with applicable HIPAA guidelines.
- Demonstrated proficiency in Microsoft Outlook, Excel, and Word.
- Analyzed and resolved coding issues such as modifiers, ICD-10, CPT, and HCPCS.
- Achieved a payment recovery ratio of 90% on denied and rejected claims.
- Conducted follow-up on inpatient/outpatient, hospital-based, and physician-based billing by contacting payers and using payer portals to resolve accounts promptly.
- Created and submitted appeals to insurance companies through portals and mailing, including supporting documentation.
- Effectively followed up on appeals.
- Working on Inpatient/ out patient, HB, PB billing Follow up on claims through calling payers and using payer portals to resolve accounts in timely manner.
- Demonstrated a deep understanding of insurance denial letters.
- Maintained an excellent attendance record, consistently delivered high-quality work, and exhibited strong productivity.
- Exceeded goals through effective task prioritization and a strong work ethic.
- Actively listened to customers, addressed concerns promptly, and escalated major issues to supervisors.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts.
- Located errors and promptly refiled rejected claims.
Patient Account Representative
Exponere Billing
Alexandria, VA
10.2018 - 01.2022
- Completed daily tasks such as monitoring accounts receivable, addressing rejections, managing collections, and processing explanations of benefits (EOBs), while also verifying eligibility and benefits.
- Utilized a variety of healthcare software systems, including Epic, Invision, ECW, Change Healthcare.
- Organized assigned duties and maintained a spreadsheet to track denials.
- Interacted with commercial, government (Medicare, Medicaid), and workers' compensation insurance carriers.
- Communicated with patients via phone and written correspondence regarding updates to demographics, balance inquiries, and coordination of benefits.
- Prepared and submitted appeals for denied or rejected claims to insurance providers.
- Provided exceptional customer service to patients and insurance companies.
- Managed pending deduction procedures to rectify unauthorized or incorrect deductions.
- Oversaw claims inventory to minimize outstanding invoices.
- Conducted research on payer coverage guidelines, self-funded employee benefit programs, and relevant national and state regulations.
- Investigated A/R-related initiatives to aid follow-up representatives.
- Identified and corrected errors in medical billing processes.
- Streamlined billing processes for increased efficiency in managing patient accounts.
- Enhanced patient satisfaction by promptly addressing inquiries and resolving account issues.
- Electronically submitted bills according to compliance guidelines.
- Achieved a significant reduction in aged accounts receivable through diligent follow-up efforts with both patients and insurers.
- Identified trends in unpaid accounts, developing targeted solutions for improved revenue recovery.
- Prepared reports detailing billing actions, flags, and other key information.
- Reduced outstanding balances by implementing effective collection strategies tailored to individual patients'' needs.
Education
High School Diploma -
Beaconhouse School
01.2016 - 01.2018
Skills
- UB04 & CMS-1500
- ICD-10, HCPCS and CPT Coding
- Appeals Creation and Follow Up
- EOB/Payment Posting
- ICD-10 proficiency
- Denial management
- Medicare and medicaid process
- HIPAA compliance
- Payment posting
- Accounts payable
- Claims review
- CMS-1500 billing forms
- Medical terminology
- Microsoft office
Software
Meditech
NextGen
ECW
Athena
All Scrpit
HST
Vision
Gensis
Timeline
Medical Billing Specialist
Physician Revenue Group
02.2022 - 01.2025
Patient Account Representative
Exponere Billing
10.2018 - 01.2022
High School Diploma -
Beaconhouse School
01.2016 - 01.2018
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