Summary
Overview
Work History
Education
Skills
Disclaimer
Languages
Personal Information
Timeline
Generic

Alwin Anthonydas Michael

Nagpur

Summary

Dynamic professional specializing in medical billing with a strong background in claims processing and patient satisfaction enhancement. Demonstrated ability to optimize workflows and ensure compliance, resulting in maximized reimbursements. Skilled in team collaboration and effective problem resolution within high-pressure environments.

Overview

7
7
years of professional experience

Work History

Executive Customer Relations

MEDCASH HEALTH-TECH PVT. LTD
Nagpur
12.2024 - Current
  • Efficiently manage third-party and corporate insurance claims by verifying eligibility and benefits for accurate billing and claim submissions
  • Submit and track all claim files in compliance with MedCash company standards and insurer-specific guidelines, ensuring timely processing and payment
  • Utilize advanced billing software and EHR systems to prepare and submit accurate claims, reducing errors and denials
  • Collaborate with insurance providers to resolve discrepancies, follow up on unpaid claims, and ensure proper reimbursement for services rendered
  • Maintain detailed records of claim submissions, rejections, and adjustments to ensure proper documentation and support audits
  • Stay updated on insurance policies, coding systems, and industry regulations to ensure compliance and maximize claim approvals

Manager Customer Relations

Kids Clinic India Ltd. (Cloudnine Hospital)
Pune
05.2023 - 11.2024
  • Managed a high volume of inbound and outbound calls for hospital inquiries, appointments, and insurance queries
  • Performed administrative duties including patient intake, setting appointments, data entry, and maintaining medical records
  • Assisted patients with completing history forms, consent forms, and payment contracts
  • Processed cash and credit card payments for medical services
  • Reviewed patient accounts, identified delinquent accounts, and collected overdue payments
  • Submitted insurance claims and followed up on outstanding payments
  • Maintained accurate records of billing transactions and ensured patient satisfaction

Billing Executive

Premier Documentation & Rush Staffing Solutions
Aundh
03.2023 - 05.2023
  • Receive patient referral from physician or healthcare provider
  • Verify patient's insurance coverage and eligibility for treatment
  • Obtain prior authorization from insurance company for treatment or procedure
  • Document prior authorization details, including authorization number and expiration date
  • Check coverage for specific treatment or procedure
  • Update patient's record with verified insurance information
  • Create claim for services rendered, including diagnosis and procedure codes
  • Track claim status, including receipt, processing, and payment
  • Communicate with Rush Staffing Solutions' team, including account managers and billing specialists, to ensure smooth processing of claims

Senior Billing Executive

Aureus Institute of Medical Sciences
Nagpur
10.2018 - 02.2023
  • Promoted from Front Desk Manager to Senior Billing Executive
  • Resolved customer complaints and provided billing solutions
  • Managed cash flows, prepared daily turnover reports, and processed client requests
  • Monitored monthly payments and maintained schedules
  • Collaborated with team members to solve complex system issues related to hospital billing and claims operations

Education

MBA - Finance

09.2024

B.Com -

Himalayan Garhwal University
Uttarakhand
01.2020

XIIth - Commerce

Dhanvate National College
Nagpur, Maharashtra

Xth -

St. Anthony High School
Nagpur, Maharashtra

Skills

  • Medical billing expertise
  • Accounts management skills
  • Strong communication and service orientation
  • MS Office applications proficiency
  • Typing speed of 30 wpm
  • Team collaboration and problem resolution

Disclaimer

I hereby declare that the above-furnished details are true and correct to the best of my knowledge.

Languages

  • Hindi
  • English
  • Marathi (occasional)

Personal Information

  • Date of Birth: 06/10/98
  • Nationality: Indian
  • Marital Status: Single

Timeline

Executive Customer Relations

MEDCASH HEALTH-TECH PVT. LTD
12.2024 - Current

Manager Customer Relations

Kids Clinic India Ltd. (Cloudnine Hospital)
05.2023 - 11.2024

Billing Executive

Premier Documentation & Rush Staffing Solutions
03.2023 - 05.2023

Senior Billing Executive

Aureus Institute of Medical Sciences
10.2018 - 02.2023

MBA - Finance

B.Com -

Himalayan Garhwal University

XIIth - Commerce

Dhanvate National College

Xth -

St. Anthony High School

Similar Profiles

CREATE PROFILE
Alwin Anthonydas Michael