
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
Packages: MS-office, MS-Excel, MS-Outlooks
Finished Course-Tally and Ms software's
worked in software components like Tebra, Kareo, Office Ally, Practice Fusion, ECW, payment posting electronical web portal
Healthenet and Nursing home billing web portals, Univera, Availity and electronical insurance request filling forms web service portal's
Optum server-Provider portal using for insurance claim form updates and sending request's