Summary
Overview
Work History
Education
Skills
Accomplishments
Timeline
Generic

BRETA MARY NADAR

Mumbai

Summary

Revenue Cycle Representative with proven track record in medical billing and claims processing. Demonstrates high productivity and accuracy in task completion. Strong analytical skills enhance problem-solving and communication, driving financial objectives and optimizing revenue cycle operations.

Detail-oriented revenue cycle specialist with a systematic nature and good grasp of billing processes. Successful planner and problem-solver. Ready to apply several years' experience and take on a challenging role.

Overview

10
10
years of professional experience

Work History

REVENUE CYCLE REPRESENTATIVE - PAYMENT POSTER

Trubridge Healthcare Solutions (earlier known as "revbot healthcare solutions")
mumbai
09.2021 - Current
  • Maintained organization’s required quality percentage by delivering accurate work.
  • Coordinated with team and team leader to complete daily tasks ahead of TAT.
  • Reviewed patient accounts to ensure accuracy and completeness of information.
  • Processed claim denials and appeals following established procedures.
  • Reviewed claims for accuracy and completeness before submission.
  • Processed claim denials and appeals in accordance with established procedures.
  • Reconciled payments received from insurance companies with expected amounts due.
  • Maintained accurate records of all transactions related to patient accounts including account adjustments, credit balance refunds.
  • Resolved billing discrepancies through research and analysis.
  • Analyzed financial documents such as Explanation of Benefits statements for accuracy.

REVENUE CYCLE REPRESENTATIVE - PAYMENT POSTER

Inventurus Knowledge Solutions
Airoli
02.2019 - 08.2021
  • Reviewed US healthcare medical bills to ensure accuracy and compliance.
    Posted medical bill payments into organization’s software for tracking.
    Managed time effectively to achieve daily targets consistently.
    Coordinated with team members to complete tasks ahead of turnaround time.
    Maintained comprehensive records of all medical bill payments and conducted timely audits.
    Ensured data accuracy and upheld quality standards in daily work processes.
  • Reviewed claims for accuracy and completeness before submission.
  • Processed claim denials and appeals in accordance with established procedures.
  • Reconciled payments received from insurance companies with expected amounts due.
  • Maintained accurate records of all transactions related to patient accounts including account adjustments, credit balance refunds.
  • Resolved billing discrepancies through research and analysis.

QUALITY AUDITOR AND CUSTOMER SERVICE REPRESENTATIVE

Eureka Outsourcing Solutions
Airoli
12.2016 - 01.2018

Audited daily calls, chats, and email recordings for quality assurance.
Ensured customer satisfaction by assigning quality scores and providing individualized feedback.
Conducted team meetings to discuss innovative ideas and enhance conversation quality.

  • Conducted quality audits to ensure compliance with company standards.
  • Collaborated with teams to identify areas for process improvement.
  • Created reports on audit findings, including recommendations for improvements.
  • Investigated customer complaints and initiated corrective actions.

CUSTOMER SERVICE EXECUTIVE

Eureka Outsourcing Solutions
Airoli
09.2015 - 11.2016
  • Solve the customer's query through calls/chats/emails and ensure customer satisfaction.
  • Handle the incoming calls/chats/emails with proper and accurate process knowledge.
  • Maintain proper quality score on every calls/chats/emails.

Education

DIPLOMA GRADUATE -

L.S raheja college of architecture
BANDRA-EAST
01.2015

HSC -

Kelkar college of arts, science & commerce
MULUND-EAST
01.2012

SSC -

Holy angel's high school
MULUND-EAST
01.2010

Skills

  • ECW, DENTRIX, and NEXTGEN software
  • Claims review
  • Payment posting
  • Charge entry
  • denial management
  • Claim processing
  • Billing reconciliation
  • Medical billing expertise
  • Revenue cycle management
  • Claim submission and denial management
  • Payment posting and reconciliation
  • Insurance verification and compliance
  • Analytical problem solving
  • Quality assurance auditing
  • Customer support and escalation handling
  • Team leadership and collaboration

Accomplishments

  • Trubridge Healthcare Solutions - Received appreciation for maintaining 100% quality with maximum production count.
  • Inventurus Knowledge Solutions - Received certificate for maximum contribution towards process.
  • Eureka Outsourcing Solutions - Promoted as quality auditor for maintaining consistency in 100% quality and being dedicated towards the job responsibilities.

Timeline

REVENUE CYCLE REPRESENTATIVE - PAYMENT POSTER

Trubridge Healthcare Solutions (earlier known as "revbot healthcare solutions")
09.2021 - Current

REVENUE CYCLE REPRESENTATIVE - PAYMENT POSTER

Inventurus Knowledge Solutions
02.2019 - 08.2021

QUALITY AUDITOR AND CUSTOMER SERVICE REPRESENTATIVE

Eureka Outsourcing Solutions
12.2016 - 01.2018

CUSTOMER SERVICE EXECUTIVE

Eureka Outsourcing Solutions
09.2015 - 11.2016

DIPLOMA GRADUATE -

L.S raheja college of architecture

HSC -

Kelkar college of arts, science & commerce

SSC -

Holy angel's high school
BRETA MARY NADAR