KRISHNA RANA

· Worked with multiple Commercial payers.

· Won employee of the month award twice in month of June and August 2021

· Perform Pre-call analysis and check status by calling the payer or using IVR or Web portal services.

· Maintain adequate documentation on the client software to send necessary documentation to insurance companies

· Record after-call actions and perform post call analysis for the claim follow-up

· Assess and resolve enquiries, requests and complaints through calling to ensure that customer enquiries are resolved at first point of contact

1. Maintain accounts and Medical Records for all billing and maintain files for same.

2. Won Employee of the month award in April of 2020

1. Worked in Appeal writing and denial management one at a time

2. Perform analysis of accounts receivable data and understand the reasons for underpayment, days in A/R, top denial reasons, use appropriate codes to be used in documentation of the reasons for denials / underpayments