Summary
Overview
Work History
Education
Skills
Certification
Timeline
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Krima Sheth

Krima Sheth

Vadodara

Summary

Client-centered Eligibility Specialist with a career spent accurately managing records, handling appointment scheduling and overseeing other administrative tasks in fast-paced settings. Bilingual individual committed to engaging others and delivering exceptional service. Ready to tackle new challenges in an office-based environment.

Overview

9
9
years of professional experience
1
1
Certification

Work History

Eligibility Specialist (Remote)

Matrix Healthcare Pvt Ltd
Anand
03.2019 - Current
  • Assisted in developing a workflow process for data entry into the EHR system.
  • Provided support to junior staff during peak periods of workloads.
  • Coordinated team resources to achieve project goals.
  • Analyzed discrepancies between source documents, systems and reports.
  • Provided training sessions on billing software applications and procedures to staff members.
  • Collaborated with physicians, resolve issues related to medical billing.
  • Maintained oversight of all billing operations including charge entry, payment posting, collections and appeals.

Eligibility Assistant

Healthcare Informatic Pvt Ltd
Vadoadara
12.2015 - 02.2019
  • Provided customer service to clients seeking assistance with their eligibility requirements.
  • Assisted clients with completing application forms, gathering necessary documents and submitting paperwork.
  • Verified accuracy of data entered in the system.
  • Resolved escalated service requests from customers in a timely manner.
  • Worked with patients and other clinical professionals.
  • Analyzed billing reports for errors or discrepancies in payment postings.
  • Prepared financial documents such as invoices, checks, and bank deposits as required.

Education

Master of Commerce - Financial Accounting

P G Department of Business Studies
Vallabh Vidyanagar, Anand, Gujarat, India
03-2013

Bachelor of Commerce - Financial Accounting

Dharamsinh Desai (DD) University
Nadiad ,Gujarat ,India
04-2011

Skills

  • Medicaid eligibility
  • Customer service
  • Problem solving
  • Claims processing
  • Eligibility determination
  • Application processing
  • Appointment scheduling
  • Needs assessment
  • Networking skills
  • EHR training
  • EHR systems
  • Data entry
  • Ms Office
  • Power BI

Certification

August 2024

Business Analysis . H2k Infosys USA.. Online Training

Timeline

Eligibility Specialist (Remote)

Matrix Healthcare Pvt Ltd
03.2019 - Current

Eligibility Assistant

Healthcare Informatic Pvt Ltd
12.2015 - 02.2019

Master of Commerce - Financial Accounting

P G Department of Business Studies

Bachelor of Commerce - Financial Accounting

Dharamsinh Desai (DD) University

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Krima Sheth