Karan

• Identified trends in denials or rejections due to incorrect coding or billing practices by providers.

• Documented decisions on each claim based on research findings and applicable benefit plans.

• Followed up on pending claims and resolved issues delaying processing.
• Identified and flagged suspicious claims for further investigation
• Applied knowledge of coding systems such as CPT-4 and HCPCS codes for proper reimbursement
• Precisely calculated refunds, premiums, and adjustments.
• Coordinated benefits with medical insurance plans and Medicare providers.
• Entered claim information accurately into database systems.
• Reviewed and verified insurance policy information to assess coverage and determine appropriate claims processing procedures.

•Assisted in the preparation or budget forecasts and monitored budget variances

• Monitored and recorded company expenses, ensuring adherence to budget guidelines.
• Maintained customer data confidentiality while inputting information into system
• Developed strategies for improving efficiency in the accounting department.
• Managed time effectively to ensure tasks were completed on schedule and deadlines were met.
• Assisted with customer requests and answered questions to improve satisfaction.
• Used customer and bank records to investigate and correct errors upon customer.