MS Office
Basant Kumar Mishra
Senior Manager
Summary
To leverage over 10+ years of experience in USA medical and dental billing, along with strong team management skills, in a Senior Manager position that drives organizational growth, ensures billing accuracy, and enhances client satisfaction.
Overview
15
15
years of professional experience
3
3
Languages
Work History
Senior Manager
Mdercm Solutions Private Limited
03.2021 - Current
- Assisted in overseeing daily operations to ensure efficiency productivity across departments.
- Supervised and supported team members, providing training.
- Performance feedback, and conflict resolution.
- Collaborated with the Manager to develop strategic plans and implement process improvements.
- Ensured compliance with company policies and industry
- regulations.
- Monitored financial activities, including budgeting, reporting, and inventory control.
- Played a key role in staff scheduling, task delegation, and project coordination.
- Coordinate with clients, providers, and internal teams to resolve escalated billing issues and improve workflow efficiency.
- Train new team members on US medical billing procedures, payer guidelines, and HIPAA compliance.
- Implement process improvements and best practices to increase first-pass claim acceptance and streamline workflows.
Senior Analyst
R1 RCM
08.2018 - 03.2021
- Managed payment posting and follow-ups on pending claims with US insurance companies.
- Identified denial reasons and initiated timely resolution to prevent claim write-offs.
- Conducted regular follow-ups with insurance payers via phone and payer portals to ensure prompt claim processing.
- Verified patient eligibility using platforms like ZirMed, Chart Manager, and Vyne Trellis.
- Acted as a liaison between patients, attorneys, and collection agencies for claim-related communications.
- Provided HCFA forms (CMS-1500, UB-04) upon attorney request, post-verification of authorization.
- Verified and reviewed patient demographic and authorization details for claim accuracy.
- Analyzed medical insurance claims to ensure adherence to quality and compliance standards.
- Delivered excellent customer service through written and verbal communication to address inquiries and maintain satisfaction.
Senior Billing Executive
Cogtest Services Private Limited
08.2016 - 07.2018
- Manual and auto post all incoming payments.
- Post payments into system through Eft,Cheque,Credit Card.
- Process Charge Entry into E Premis system with Accuracy.
- Process insurance and patients refund as needed.
- Follow Organization Billing policies and Procedures.
- Works on Hospital and Physicians Billing.
- Works directly with insurance companies to get claim processed and paid.
- Good Knowledge about EOB and ERA.
- Processed insurance claims, verifying information and routing to the appropriate team members.
- Processed statements and invoices through the Medisoft Billing System.
- Manage and coordinate billing for patients.
- Assisted with the supervision of Medical Records Departments.
Operations Executive
Rubixis Technologies Private Limited
10.2013 - 07.2016
- Post payments from cheque batches received from the Finance department.
- Understand EOB's and ERA adjustments.
- Post all payments from patients and various insurance companies within TAT.
- Reconciles daily batch posting to actual entry in order to identify and reconcile any discrepancies.
- Payments and adjustments are accurately recorded in the patient accounting system daily.
- Post denial accounts according to client instructions.
- Completes task accurately,maintaining quality Standards.
Senior MIS Executive
Net Connect Private Limited
12.2012 - 10.2013
- Collect data from Pan India Engineers and Consolidate for reports.
- Download data from remedies call log system and use for reports.
- Prepared Monthly SLA from Engineers data.
- Assist Project Manager related to required reports.
- Prepared Monthly Performance Status reports for Engineers.
- Prepared Inventory reports for AMC for IT Peripherals Equipments.
- Prepared MIS reports on Daily,Weekly and Monthly basis.
- Ability to handle high level volume data and various types of report.
Senior Process Associate
SunTec India
11.2009 - 09.2012
- Data captured from multiple website.
- Order Processed on Yahoo Small Business Store.
- Advertised for Multiple E-Comm Websites.
- Prepare Inventory report for Multiple E-Comm Stores.
- Quality check of input files before submitting.
- Web Search for higher management data for business Developed.
- Bulk Email to Clients and customer for process outsource.
Education
Bachelor of Commerce - Accounting And Finance
Jai Prakash University
Chapra 05.2001 -
Skills
- Long-term planning
- Employee talent development
- Process optimization
- Effective resource allocation
- Billing Inquires
- Customer Services
- Active Listening
- Leadership Communications
- Interpersonal Skills
- Problem Solving
- Attention to Details
- Insurance Knowledge
Software
Open Dental
Care Stack
E-Primes
Zirmed
Vyne
Dentrix
Ascend
Cloud 9
Dolphin
OrthoEdge
Denticon
Macpractice
Medisoft
In-Vision
Timeline
Senior Manager
Mdercm Solutions Private Limited
03.2021 - Current
Senior Analyst
R1 RCM
08.2018 - 03.2021
Senior Billing Executive
Cogtest Services Private Limited
08.2016 - 07.2018
Operations Executive
Rubixis Technologies Private Limited
10.2013 - 07.2016
Senior MIS Executive
Net Connect Private Limited
12.2012 - 10.2013
Senior Process Associate
SunTec India
11.2009 - 09.2012
Bachelor of Commerce - Accounting And Finance
Jai Prakash University
05.2001 -
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