Dynamic Revenue Cycle Specialist with extensive experience at Peoplecare Solutions Inc., excelling in claims processing and data analysis. Proven track record in resolving billing discrepancies and enhancing accounts receivable management. Adept at generating insightful financial reports while maintaining HIPAA compliance, demonstrating strong problem-solving skills and a commitment to operational excellence.
Overview
8
8
years of professional experience
Work History
Revenue Cycle Specialist
Peoplecare Solutions Inc.
New Jersey
12.2019 - Current
Researched discrepancies on unpaid invoices and reconciled them.
Processed appeals related to denied or rejected claims in a timely manner.
Reconciled monthly accounts receivable reports against system transactions.
Reached out to responsible companies and individuals to collect on outstanding debts.
Performed account reconciliations between insurance companies and internal systems.
Monitored accounts receivables daily to determine appropriate follow-up action needed.
Compiled data into weekly and monthly reports outlining performance metrics related to revenue cycle activities.
Analyzed claims data to identify trends in denials and rejections.
Prepared financial statements for management review.
Developed reports detailing billing activities, including payment trends and denial rates.
Senior AR Caller
Guhilot Enterprise
Ahmedabad
01.2018 - 11.2019
Performed calls to customers regarding outstanding debts on their accounts and negotiated payment arrangements.
Investigated billing discrepancies and implemented effective solutions to resolve concerns and prevent future problems.
Contacted insurance companies to check status of claim payments.
Medical Billing Executive
E-health Source LLC
Ahmedabad
11.2017 - 01.2018
Prepared and submitted daily, weekly, and monthly reports on billing activities.
Reviewed patient accounts for accuracy and completeness of insurance information.
Conducted follow-up calls to insurers to ensure prompt payment of claims submitted by physicians and providers.
Resolved complex billing issues in a timely manner.
Verified insurance coverage eligibility with insurance companies.
Reviewed account information to confirm patient and insurance information is accurate and complete.
Completed month-end and year-end closings, kept records audit-ready and monitored timely recording of accounting transactions.