At Conifer Care Hospital, I managed the billing cycle for ENT, surgical, allergy, inpatient, outpatient, and dental services, including in-network and out-of-network claims.
I applied ICD-10, CPT, HCPCS, and CDT codes, verified insurance eligibility, and processed prior authorizations. I also documented medical necessity and upheld HIPAA, CMS, and ADA standards.
Using eClinicalWorks and Acusimple, I submitted and tracked claims, reviewed EOBs, resolved denials, and followed up on A/R. I also produced A/R and claim performance reports.
At Asterisks Kenya Solutions, I entered patient and billing data, processed outpatient and surgical claims, posted payments, and prepared A/R aging and reconciliation reports.
