BHUMI TRIVEDI
AHMEDABAD
Summary
Motivated medical billing specialist with over 2 years of experience in health operations management, billing, and coding. Experience in ICD-9 and ICD-10, CPT and HCPCS coding. Highly skilled in analyzing and validating patient information , diagnoses , and billing data. demonstrated leadership skill that enable the processing of high volumes of patient information to achieve revenue generation goals.
Overview
2
2
years of professional experience
Work History
Medical Biller
Axial healthcare Pvt Ltd
AHMEDABAD
10.2020 - 12.2022
- Collected, Posted and managed patient account payments, and prepared and submitted claims forms to insurance.
- Performed insurance verification, pre-certification, and pre-authorization.
- Entered procedure and diagnosis codes and requisite patient information into billing software to stream line invoicing and account management; added modifiers, Verified diagnoses, and coded narrative diagnoses.
- Performed follow up activities on unpaid claims with insurance companies or other third party payers by phone or written correspondence.
- Compiled and processed data for billing purposes utilizing billing software programs.
- Maintained accurate records of all billing activity in accordance with departmental standards.
- Performed daily reconciliation of accounts receivable with payment postings on the computer system.
- Submitted electronic claims to various insurance carriers.
- Maintained up-to-date knowledge of government regulations related to healthcare reimbursement policies and procedures.
- Ensured compliance with HIPAA guidelines when handling confidential patient information.
- Collaborated with managers to develop strategies for improving revenue cycle processes.
Education
BBA - Bussiness Administration
Swami Sahajanand College of Commerce And Managemen
Bhavnagar03-2013
Skills
- Claims review
- Claims Processing
- Account follow-up
- Medical Billing
- Billing codes
- HIPAA Compliance
- Insurance Verification
- Claim review
- Medicaid and Medicare Knowledge
- Medical coding understanding
- ICD-10 Coding
- Electronic Claims
- CMS-1500 Billing Forms
- Insurance Billing
- Patient Billing
- Accounts Receivable and Accounts payable
- CPT code modifiers
- Work Prioritization
- Proficiency in IMS software
- Teamwork and Collaboration
- Commercial and Private Insurance
Languages
gujrati
First Language
English
Advanced (C1)
C1
Timeline
Medical Biller
Axial healthcare Pvt Ltd
10.2020 - 12.2022
BBA - Bussiness Administration
Swami Sahajanand College of Commerce And Managemen
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