Akshat Rana

• Review denials to determine necessary steps for claims review.
• Boosted team productivity, managing a high volume of accounts while maintaining close attention to detail and accuracy.
• Drove consistent progress toward key performance goals in accounts receivable, regularly monitoring and adjusting strategies as needed.
• Research and Resolve Payment Discrepancies.
• Trained new hires on accounts receivable procedures, contributing to a knowledgeable and efficient workforce.
• Contact insurance companies for further explanation of denials and underpayments
• Generated invoices upon receipt of billing information and tracked collection progress.
• Analyze outstanding claims and initiate collection efforts as per aging report

• Improve medication safety by assisting pharmacists to collect up-to-date prior-to-admission medication lists for patient admitted to the hospital.
• Update and clarify allergy information in patients' records in an electronic health record.
• Identifying the Most Accurate List of All Medications That the Patient Is Taking, Including Name, Dosage, Frequency, And Route, By Comparing the Medical Record to An External List of Medications Obtained from A Patient, Hospital, Or Other Providers.

• Identified discrepancies in source and target systems, implementing corrective actions to maintain data integrity.
• Ensured data accuracy through comprehensive quality checks and validation procedures.

• Collaborated with cross-functional teams to identify and address any potential migration issues.
• Migrating Patient Medical, Past, Social, Family Histories and Analyzing Them

• Migrating Patient Medical, Past, Social, Family Histories and Analyzing Them
• Ensured data accuracy through comprehensive quality checks and validation procedures.
• Conducted thorough data profiling to ensure optimal performance during the migration process.
• Collaborated with cross-functional teams to identify and address any potential migration issues.

• Conducted regular audits of billing records to ensure accuracy and completeness, enhancing overall financial performance for the practice.
• Supported efficient scheduling practices by verifying patient eligibility and coverage prior to appointments.
• Ensured timely payments from insurance providers through submission of accurate and complete claims.
• Trained new team members in medical billing software, increasing efficiency within the department.
• Reduced claim denials by meticulously reviewing patient insurance information.
• Reviewed patient diagnosis codes to verify accuracy and completeness.
• Entering patient demography, insurance eligibility, charge entry.

• Obtaining authorization by calling insurance companies and Hospital for patients.
• Processing authorization by using payor websites
• Calling insurance companies to know whether patient is eligible for services or not

• Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
• Demonstrated a high level of professionalism and attention to detail in all aspects of insurance verification specialist role, consistently exceeding performance expectations.
• Expedited patient registration process by efficiently validating eligibility for various insurance plans.
• Assisted in training new employees on best practices for efficient insurance verification processes and procedures.
• Verifying insurance eligibility and benefits for patients of the healthcare facility
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• Analyze outstanding claims and initiate collection efforts as per aging report.
• Trained new hires on accounts receivable procedures, contributing to a knowledgeable and efficient workforce.
• · Review denials to determine necessary steps for claims review.
• Research and Resolve Payment Discrepancies
• · Process Adjustments.
• Contact insurance companies for further explanation of denials and underpayments.
• Streamlined daily reporting information entry for efficient record keeping purposes.