Karthik R

• Payment Posting & Demo and charge entry proceess I was work in past 1 year.
• Assisted in daily operations by organizing inventory .
• Supported team members in completing tasks efficiently and effectively.
• Participated in training sessions to learn process knowledge and procedures.

Demographic Entry (Registration)

• Accurately registered patient accounts daily, ensuring 100% precision in capturing personal, guarantor, and insurance information.
• Verified primary and secondary insurance coverage (PPO, HMO, Medicare, Medicaid) to prevent front-end eligibility denials.
• Expertise in identifying and correcting insurance discrepancies, reducing claim rejection.

Charge Entry

• Processed clinical superbills and encounter forms into billable charges with a focus on CPT, ICD-10, and HCPCS coding accuracy.
• Applied appropriate modifiers (e.g., -25, -59, -RT/LT & -76,77 ) to ensure maximum reimbursement and compliance with NCCI edits.
• Maintained a consistent 24-48 hour TAT for charge posting, ensuring a steady cash flow for the practice.
• Audited charges against provider documentation to identify under-coding or missing procedures.

Payment Posting

• Posted insurance payments from ERAs and manual EOBs with high accuracy and reconciled daily bank deposits.
• Processed contractual adjustments, write-offs, and transfers of responsibility to secondary payers or patient statements.
• Analyzed denial codes (CARC/RARC) during posting and immediately routed denied claims to the AR team for appeal.
• Managed patient payments, including co-pays, deductibles, and co-insurance, ensuring accounts reflected real-time balances.

Key Skills

Systems: EPIC, imagine software,konica, eClinicalWorks, one source.

Concepts: Coordination of Benefits (COB), Denial Management, EOB/ERA Analysis, NCCI Edits, HIPAA Compliance