AISWARYA R
Claim adjudication
Palakkad
Summary
Dynamic Claim Adjudication professional with proven expertise at Access Healthcare, excelling in eligibility verification and billing compliance. Adept at navigating insurance regulations while fostering strong client relationships. I ensure adherence to HIPAA guidelines, driving accuracy and efficiency in claims processing.
Overview
2
2
years of professional experience
2
2
Languages
Work History
Claim Adjudication
Access Healthcare
10.2023 - Current
- Having a huge knowledge and work experience of RCM Medical billing.
- As a client partner, I am responsible for specified kick codes and checking eligibility verification.
- Managing the activities in BAC (Billing another carrier).
- Review and analyze patient medical records, encounter forms, and other documentation to accurately determine the appropriate billing code for services rendered.
- Knowledge of insurance guidelines, Medicare, state Medicaid, and commercial insurance.
- Ensured HIPAA guidelines were strictly adhered to.
- Hard Working Nature for to achieve good results.
- Flexible and versatile to any new environment.
Education
Bachelor of Science - Computational Science
Sri Krishna Adhitya College
Coimbatore, India 04.2001 -
High School Diploma -
Vivek Vidhyalaya Matriculation Higher Sc School
Coimbatore, India 04.2001 -
Skills
- Claim adjudication
- Eligibility verification
- Billing compliance
- Insurance regulations
- Client relationship management
- English fluency
- Confident communication
- Basic MS Excel skills
- Programming: C, C, Python
Timeline
Claim Adjudication
Access Healthcare
10.2023 - Current
Bachelor of Science - Computational Science
Sri Krishna Adhitya College
04.2001 -
High School Diploma -
Vivek Vidhyalaya Matriculation Higher Sc School
04.2001 -
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