Dineshkumar

Access Healthcare Pvt. Ltd

Client Specialist - 2020 Current

Medical Adjudication

• Filing out insurance forms and submitting them to the respective company for payment
• Preparing, reviewing claims using billing software, including electric and paper claims processing.
• Determine the claim rejection, denial and payment
• Using citrix management to view patient source file
• Can able to develop knowledge in medical billing process
• Maintain the floor support
• Well knowledge about the process and maintained the good quality

Auth & Referrals

• Analyzing the denials and find the authorization number and referral document which is given by the payer
• Prepare and submit appeals and monitoring the appeals to take appropriate action for the particular denials
• Maintained the quality and provide exceed the assigned targets