M.Tech in Computer Science Engineering -
Medha
01.2016
Keloth Raju
Hyderabad
Summary
Sr. AR Specialist the healthcare industry, with over 5 years experience in hospital and physician medical billing, patient access, collections and revenue cycle management. Self-motivated Accounts Receivable and Billing Specialist offering a strong work ethic and determination to complete tasks in a timely manner. Accurate and detail-oriented with extensive accounts receivables/billing and clerical knowledge.
Education
B.Tech in Computer Science Engineering -
Hitam
01.2014
Intermediate -
Bhargavi Junior College
01.2010
SSC -
Trintitty High School
01.2008
Skills
- Denials Management
- Insurance Verification
- Medical Billing
- Knowledge in Windows Operating System
- Accounts Receivable
- Hardworking and determined more over a good team player Positive attitude, Responsibility towards studies and duties, enthusiasm to accept challenges
- Word, Excel, Access, Powerpoint, Outlook,
- Lotus Notes, Billing, Claims Processing, Medical Terminology, Anatomy And Physiology, Centricity, Allscripts,
Timeline
Senior Process Associate
R1RCM PRIVATE LIMITED
10.2022 - Current
Senior Process Associate
EPICLE SOLUTIONS PRIVATE LIMITED
06.2021 - 09.2022
Senior Process Associate
VCARVE RCM PVT LTD
03.2018 - 03.2021
M.Tech in Computer Science Engineering -
Medha
B.Tech in Computer Science Engineering -
Hitam
Intermediate -
Bhargavi Junior College
SSC -
Trintitty High School
Work History
Senior Process Associate
R1RCM PRIVATE LIMITED
10.2022 - Current
- Reviewed, followed up, and worked on unpaid claims, old claims, no response claims, outstanding claims, and denials.
- Demonstrated the ability to read and interpret EOBs, and face sheets from medical facilities.
- Created, processed, and submitted claims to various insurance companies electronically, mailed, and or by fax, ensuring their accuracy by contacting the patient, health companies or institutions.
- Submitted electronic claims and paper claim to primary or secondary insurance.
- Edited, corrected, and handled failed claims with proper information and re-submitted claims as required.
- Received incoming calls from patients and insurance companies, troubleshooting issues with billing.
- Counseled patients with outstanding balances and set up payment plans in conjunction with the central medical billing department.
- Performed the tasks of creating, organizing, updating, and maintaining accounts on data spreadsheets by using medical billing software.
- Responsible for assisting patients, carriers, and other concerned parties in areas of insurance payment issues.
- Worked adjustments, zero pays, wrote off and transferred financial responsibility to patients as required
- Claim Forms CMS1500, UB04.
Senior Process Associate
EPICLE SOLUTIONS PRIVATE LIMITED
06.2021 - 09.2022
- Generated reports through the CMS software for the rejections
- Reported to the team lead about the reports and sent the weekly progress report
- Presentations on the collections achieved on monthly basis
- Thorough knowledge in entire Revenue Cycle Management such as Denial Management and Accounts Receivables
- Clear understanding of Insurance Carriers, Health Care Facilities and Billing office in USA
- Handling multiple specialties
- Motivating team on sharing best practices to explore scope of process improvements.
Senior Process Associate
VCARVE RCM PVT LTD
03.2018 - 03.2021
- Met month-end reporting objectives and deadlines.
- Identified modifications to processes and procedures that would promote better efficiency.
- Performed quality assurance checks on transactions and account actions to assess compliance with state and federal regulations.
- Supervised team of process associates to enhance accountability, develop professional skills and improve efficiency.
Personal Information
- Gender: Male
- Father's Name: K.Ramulu
- Date of Birth: 08/02/92
- Nationality: Indian
Declaration
I do hereby confirm that the information given in this form is true to the best of my knowledge and belief.
Hobbies and Interests
Playing cricket, Playing pc games and reading/watching anime manga.
Personal Information
- Gender: Male
- Father's Name: K.Ramulu
- Date of Birth: 08/02/92
- Nationality: Indian
Declaration
I do hereby confirm that the information given in this form is true to the best of my knowledge and belief.
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