Epic
Hi, I’m
Kavitha Parthibhan
Coimbatore
Summary
Organized Medical Biller boasts a 6.7-year career performing difficult multitasking and claims-processing tasks. Works quickly with insurance companies to resolve problematic disputes and handle patient inquiries. Brings a can-do attitude to collaborating with medical professionals, insurance providers, and clients to handle invoicing within a high-traffic office environment.
Seeks opportunities to take on new challenges in fast-paced environments, where my existing skills can be utilized or I can learn and expand my knowledge in other domains.
Overview
11
years of professional experience
Work History
Wave Online Infoway Pvt LtdCoimbatore
Senior AR Analyst-Payments, Charges & Denial Mgmt
09.2021 - Current
Job overview
- Researched correspondence story background information to provide complete and accurate information.
- Maintained facility and patient confidentiality, complying with HIPPA policies and procedures.
- Performed data import, scanning, or manual keying processes to verify invoice accuracy.
- Verified patient insurance coverage, created financial plan according to treatment schedules for collections, and communicated between patient and billing company regarding health insurance.
- Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
- Completed appeals and filed and submitted claims.
- Reviewed patients' insurance coverage, deductibles, possible insurance carrier payments, and remaining balances not covered under policies.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulations, protocols, and third-party billing requirements.
- Posted charges, payments, and adjustments.
- Reviewed and verified benefits and eligibility with speed and precision.
- Applied payments, adjustments, and denials into the medical management system.
- Entered procedure codes, diagnosis codes, and patient information into Allscripts.
- Contacted insurance providers to verify insurance information and obtain billing authorization.
Pride technologies pvt ltdChennai
Process Executive-Claims Adjudication&Verification
09.2015 - 02.2017
Job overview
- Stayed current on HIPAA regulations, benefits claims processing, medical terminology, and other procedures.
- Reviewed claims for accuracy before submitting them for billing.
- Evaluated pending claims to identify and resolve problems blocking auto-adjudication.
- Documented file notes clearly and concisely in Allscripts.
- Verified that patients had proper insurance coverage prior to procedures or appointment scheduling.
- Communicated with the insurance carrier, patient, third party, or employer to verify patient insurance benefits.
- Entered data in the EMR database to record payer, authorization requirements, and coverage limitations.
- Handled billing-related activities focused on medical specialties.
- Proofread documents carefully to check the accuracy and completeness of all paperwork.
- Set up patient charts and documented information in various company software.
- Verified record copies before handing each over to check for and remove unnecessary details to safe guard PHI
Exl servies pvt ltdKochi
Process Associate-Payment, Charges & Verification
11.2013 - 03.2015
Job overview
- Documented and managed patient information in the computer system.
- Scheduled and confirmed patient appointments with patients and healthcare professionals.
- Supported hospital and clinic operations using customer service skills and detailed system knowledge.
- Registered patients by verifying records to update computer systems and patient charts.
- Scanned completed forms, identification, and insurance cards, maintaining patient documents folder.
- Identified and corrected payment problems involving patients or third-party payers.
- Contacted insurance providers to check patient coverage.
- Reached out to responsible companies and individuals to collect outstanding debts.
- Accessed patient information through various software applications, maintaining strict confidentiality to remain compliant with HIPAA regulations.
- Reconciling the non-balanced batches of the team (Centricity and Group cast)
- Conducted internal audits to measure adherence to established QA standards.
- Assisted new hires on specific training programs to help fellow workers maintain and improve job skills.
Pradot technologiesCoimbatore
Process Associate-Claims Printing & Dispatch
05.2012 - 11.2013
Job overview
- Handled various clerical, documentation, and data entry tasks.
- Maintained knowledge of policies and procedures and insurance coverage benefit levels, eligibility systems, and verification processes.
- Planned and conducted investigations of claims to confirm coverage and compensability.
- Resolved claims by approving or denying documentation, calculating benefits due, and determining compensation settlement.
- Examined claims, records, and procedures to approve coverage.
- Processed claims for payment or forwarded them to appropriate personnel for further investigation
- Transcribed data to worksheets and entered data into a computer to prepare documents and adjust accounts.
- Prepared and reviewed insurance-claim forms and related documents for completeness.
Education
Sri Ramalinga Sowdambigai College of ScienceCoimbatore
Bachelor of Science from Computer And Information Sciences
05.2012
Skills
- Documentation Review
- Coverage Assessments
- Data Entry
- Eligibility Determination
- Insurance Claim Forms Review
- Claims Processing
- Files and Records Management
- Billing Software Usage
- Research and Data Analysis
- Teamwork and Collaboration
- Willingness to Learn
- Problem-Solving
- Customer Service
- Computer Skills
- Quality Inspections
Languages
- English and Tamil
Software
Allscripts
Groupcast
Centricity
Microsoft Office
Availability
See my work availability
Not Available
Available
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Senior AR Analyst-Payments, Charges & Denial Mgmt
Wave Online Infoway Pvt Ltd
09.2021 - Current
Process Executive-Claims Adjudication&Verification
Pride technologies pvt ltd
09.2015 - 02.2017
Process Associate-Payment, Charges & Verification
Exl servies pvt ltd
11.2013 - 03.2015
Process Associate-Claims Printing & Dispatch
Pradot technologies
05.2012 - 11.2013
Sri Ramalinga Sowdambigai College of Science
Bachelor of Science from Computer And Information Sciences
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