ASHISH PANWAR

InfiCare is a national medical billing company. Since 2002 we have provided coding, billing and follow-up services to healthcare providers in several states in the USA.

Specialties:

• Physical Therapy Billing
• Wound Care Billing
• Urgent Care Billing
• Arthritis and Rheumatic disease
• Pediatric Billing
• Family Practice Billing
• Chiropractic
• Gynecology

Responsibilities:

• Supervise and guide a team of billing executives and ensure accurate and timely submission of professional or facility claims
• Verify claims are billed according to payer guidelines, CPT/ICD rules, and compliance requirements
• Oversee charge entry, payment posting, denial management, and AR follow-up and Monitor clearinghouse rejections and ensure quick resolution.
• Prepare daily/weekly/monthly reports for management on team productivity, billing status, and AR performance.
• Communicate claim issues, missing documents, or coding discrepancies promptly
• Coordinate with internal departments to resolve complex billing or payment problems
• Accepting inbound calls to quote benefits and insurance verification.
• Explaining denials to providers and patients and organizing scanned EOBs.
• Handling patients, referral sources, and administrative department inquiries
• Communicating with insurance companies and/or prior authorization requests
• Entering patient information into a customer information system
• Ensuring customer satisfaction and assisting them with issues/concerns related to their health
• Making decisions as needed off-hours or without supervision to ensure an uninterrupted supply of products to customers
• Analyze and investigate complicated insurance claims to help prevent fraud.
• Perform detailed site inspections.
• Review and process new claims, denials and appeals.
• Uphold relationships and communication with insurance departments and clients.
• Organize and present claim review plans.
• Negotiate settlements.

Pacific BPO, an Access Healthcare company, is a leading provider of cost and process optimization solutions to clients in the healthcare industry. Company brings technology enabled, and analytics-driven transformation of revenue cycle processes of physician practices, hospitals, and revenue cycle intermediaries.

Responsibilities:

• Ensure complete review of claims and forward to correct insurance company.
• Handle all claims on denials, rejections and no response work queue and follow-up, review and document accordingly.
• Contact insurance carriers or other responsible parties to resolve denials and confirm payment dates and details.
• Perform timely and accurate submission of claims.
• Appeal claims when necessary and understanding different codes and applying accordingly and preparing the necessary claims documents requested by insurer
• Following client pathways and working on denials according to instruction in pathways.
• On average, completed 50+ claims each day by ensuring claim files were properly documented and coded correctly.

Founded in 2002, Portcek is a New York based Revenue Cycle Management (RCM) company for healthcare providers. Portcek provides services to all levels of healthcare providers, including single-physician and group practices, radiology facilities, and specialty practices. As the leader in revenue cycle management (RCM), Portcek has pioneered a comprehensive system that maximizes revenue generation for healthcare provider practices and hospitals while reducing administrative costs.

Responsibilities:

• Proactive AR follow up.
• Revenue collection by ensuring patients is eligible for medical services.
• Actively follows up with unresolved claims issues and diligently appeals denied claims.
• Analyzes denial rationales and coding errors to establish follow-up procedures that maximize recovery rate.
• Proper claims processing and submission.
• Management of denials including an intelligent appeals strategy.
• Identify most common denials and their causes and make sure corrective measures are taken to reduce those denials and improve revenue recovery in the future.