A result-driven professional with 4+ Years of experience in successfully achieving revenue, profit and business growth in startup, turnaround, and fast-paced environments. Throughout the experience were involved in P2P Process and Purchasing of import, domestic Goods, and services. A passioned analyst & team player who is highly successful in building relationships with management, cross-functional teams, and suppliers and dynamic & responsible professional, excellent communicator and executor with truth & commitment.
· Worked from offshore as payment processor.
· Worked on medical billing charges verification and validation.
· Worked on insurance eligibility verification.
· Sets weekly goals to maintain timely postings in accordance with productivity standards.
· Responsible for timely and accurate posting of payments and adjustments to all patient accounts.
· Interpreted the explanation for benefits (EOB) and balance transfers money to the secondary insurance or patient liability.
· Accurately interpret insurance EOB’s with appropriate rejection codes.
· As payment processor, had responsibility to Re-submit corrected claims with required information that were originally denied because of incorrect coding, diagnosis etc.,
· Reconciliation of EPIC batches posted to deposit total.
· Participate in continuous quality improvement efforts on an ongoing basis. Establish goals with Manager and track progress. Comply with hospital confidentiality policy. Manage special projects as assigned.
· Be an effective team member with good communication and organizational skills. Participate in team meetings, communicate work related ideas and concerns proactively and assist in finding appropriate resolutions.
· Assist in staff training of new and current staff, on the credit resolution process.
· Balances all batches entered on computer against adding machine tapes attached to copies of checks, Credit Card Transactions/Receipts
Application: Guided Buy & Nextgen Tool, Sap Basics