GOWTHAM M

• Pre analyzing the claims and working towards the resolution and the denial part
• Providing regular reports on accounts receivable status, identifying trends, and proposing solutions for improvement
• Reducing outstanding accounts or improving payment processing efficiency
• Knowledge of healthcare regulations and compliance standards related to billing and revenue cycle management
• Collaborating with internal teams to investigate and resolve billing discrepancies and payment issues
• Displayed strong telephone etiquette, effectively handling difficult calls
• Make use of HIPPA randomly whenever checking on the patient information as well as working on the claims
• Serves as a senior user for team members, initiates and provides input for process improvements and also assisted with training new hires

Job responsibilities :

• Pre Analyzation of CMS 1500 and UB04 Claim forms
• Attention to detail and problem-solving abilities
• Ensure that claims to be Resolved
• Conclude and Phase out the claim with the appropriate Resolution.

• Generating and submitting claims to insurance companies
• Managing accounts receivable processes, ensuring timely and accurate processing of financial transactions
• Process billing claims, analyze accounts, and help callers understand their charges.
• Call Center Representative, Outbound and Maintained 120% of call targets to handle account queues

Job Responsibilities :

• Achieving Weekly target and Reports

• Follow up with Coordinator