Hard Shah
Ahmedabad
Summary
Detail-oriented Senior Process Associate with proven skills in claim tracking, denial management, and patient collections. Committed to optimizing the appeals process and improving collections to enhance operational efficiency.
Overview
3
3
years of professional experience
Work History
Senior Process Associate
IFedora private limited
Ahmedabad
04.2023 - Current
- Claim Tracking and Monitoring: Regularly checking the status of submitted claims to ensure they are being processed by insurers.
- Denial and Rejection Management: Identifying, analyzing, and correcting denied or rejected claims and resubmitting them promptly.
- Insurance Follow-ups: Contacting insurance companies regarding delayed, underpaid, or unpaid claims.
- Patient Collections: Invoicing patients for outstanding balances and following up via statements or calls to collect payments.
- Aging Report Analysis: Reviewing and managing accounts receivable aging reports to prioritize claims that are close to the 30, 60, 90, or 120-day mark.
- Payment Posting Verification: Ensuring that insurance payments are accurately posted to the correct patient accounts.
- Appeals Process: Filing appeals with insurance payers for unjustified claim denials or low reimbursements.
- Charge Reconciliation: Reviewing accounts to ensure all services provided were captured and billed correctly. Working on client email and preparation of 120+ days summary.
Education
Bachelor of Commerce - Accounting
Prin.M.C Shah Commerce College
Ahmedabad 05-2018
Skills
- Equity analysts using Volatility Contraction Pattern in Indian stock market
- International Rated Chess Player
Languages
English
Proficient (C2)
C2
Hindi
Proficient (C2)
C2
Gujarati
Native
Native
Accomplishments
Champion in Gujarat State Level Chess Tournament
Timeline
Senior Process Associate
IFedora private limited
04.2023 - Current
Bachelor of Commerce - Accounting
Prin.M.C Shah Commerce College