Summary
Overview
Work History
Education
Skills
Accomplishments
Timeline
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Bhavdeep Raval

Bhavdeep Raval

Medical Billing (RCM)
Bhavnagar

Summary

To be with an organization that will allow me to integrate my skill and offers Professional growth while being resourceful, innovative & flexible. Knowledgeable medical office professional talented at correcting and resubmitting claims, preparing patient charts and reviewing health records to identify proper diagnosis codes for billing. Offers background in reviewing, analyzing and managing medical record information to obtain prior authorizations from insurance companies and ensure payment. Medical Billing and Coding Specialist with 5.5 years providing administrative and patient support in hospital and medical office settings. Advanced knowledge of private insurance processes and codes. Disciplined individual skilled in collecting and verifying patient demographic and insurance information and preparing and maintaining medical records. Proficient in using medical terminology and classifying diagnostic procedures, treatments and medications. Dedicated to providing highest quality care to patients.

Overview

6
6
years of professional experience
3
3
years of post-secondary education
3
3
Languages

Work History

Medical Biller and Coder

Midhudson Medical Services LLP
Ahmedabad
08.2017 - Current
  • I have a thorough know-how pain management specialist provider
  • I also give a training to new joiner and briefing how does RCM works at initial stages
  • I have provided training for Eligibility, Claims & Authorizations
  • In depth understanding of collections and payment posting
  • I also take care of EOB posting and ERA posting
  • I also help our doctors in making Enrolment process smooth
  • I have worked for 1099 report of our provider
  • I have the detailed knowledge of Eligibility & Benefit section of Revenue Cycle Management
  • I also assist in resolving hardware related issues of our company’s computers
  • I also help in generating the insurance batch
  • As a Posting Analyst, I monitor the receivables to ensure that it is well within control
  • I have been handling Pain Management specialist provider since October 2020
  • As a manager, I look for AR & Payment flow from patient and insurances
  • I also have done credentialing for the providers
  • I have also worked for musculoskeletal authorizations
  • I have also detailed knowledge for eCW & NextGent EMR software
  • Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
  • Interacted with physicians and other healthcare staff to ask questions regarding patient services.
  • Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
  • Reviewed patient charts to better understand health histories, diagnoses, and treatments.
  • Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
  • Verified signatures and checked medical charts for accuracy and completion.
  • Communicated with insurance companies to research and resolved coding discrepancies.
  • Followed up with medical staff regarding missing information in patient records.
  • Provided skilled, timely and level-headed emergency response to critically-ill patients.

Education

Bachelor of Commerce - Accounting

Lokmanya College of Commerce
Ahmedabad, India
07.2017 - 09.2020

Skills

    User friendly with software like eClinicalWorks, Kareo, Medent, and Medstreaming

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Accomplishments

  • Used Microsoft Excel to develop inventory tracking spreadsheets.
  • Supervised team of more than 15 staff members.
  • Documented and resolved incorrect benefit which led to raise claim denials.
  • Achieved targets by completing claim denials with accuracy and efficiency.

Timeline

Medical Biller and Coder

Midhudson Medical Services LLP
08.2017 - Current

Bachelor of Commerce - Accounting

Lokmanya College of Commerce
07.2017 - 09.2020
Bhavdeep RavalMedical Billing (RCM)