LIKITHA KA
Bengaluru
Summary
Goal-oriented professional seeking a challenging career to unleash potential and contribute to organizational objectives. Confident in surpassing expectations and pursuing personal satisfaction through professional development.
Overview
9
9
years of professional experience
Work History
Senior Analyst - AR Calling (Credit Balance)
R1 RCM
Bengaluru
11.2023 - 07.2024
- Examined the rationale behind excessive payments from Insurance and patients on claims
- Submitted resubmitting requests for insurance claims through online portals
- Effectively communicated with insurance companies to resolve any payment discrepancies.
- Ensured follow-up on claims with excess payments to facilitate recoupment.
Senior Specialist - Provider Reimbursement (Denial Management)
Logix Healthcare Solutions
Bangalore
10.2017 - 11.2022
- Identified and addressed the underlying reasons for every denied claim
- Efficiently resolved claim issues to maximize revenue
- Resubmitted requests through web portals to insurance companies
- Consistently filed appeals as required, demonstrating effective communication abilities
- Verified that all insurance payments were accurate and in compliance with contracts.
- Handle claim rejections and manage claim denials effectively.
Senior Account Receivables Executive in AR and Patient Calling
SysInformation Health care Pvt. Ltd
06.2015 - 03.2017
- Addressed discrepancies in payments by calling insurance companies
- Achieved timely resolution of unpaid claims to maintain efficient billing process
- Assessed accounts for insurance or patient follow-up
- Responded promptly to patient and insurance inquiries for assigned accounts
- Implementation and administration of patient payment plans, along with oversight of collection accounts.
- Maintained precision in handling Medicare, Medicaid, WC, MVC, and Commercial Insurance claims.
Education
BBM (Finance) -
Mangalore Institute of Technological Science
Mangalore06.2014
PUC - Pre-University Board -
Badri Prasadji PU College
Mysuru03.2010
SSLC - Karnataka Board -
Bantwala Madhava Shenoy High School
Mysuru03.2009
Skills
- Medical Billing Applications - ECW, Allscripts and Cerner Process Management (CPM)
- Experience in EPIC Software- (Retreiving Medical records of patients)
- Use of Medical codes such as ICD-10-CM and the HCPCS Level
- MS-Excel
Personal Information
Date of Birth: 10/30/93
Timeline
Senior Analyst - AR Calling (Credit Balance)
R1 RCM
11.2023 - 07.2024
Senior Specialist - Provider Reimbursement (Denial Management)
Logix Healthcare Solutions
10.2017 - 11.2022
Senior Account Receivables Executive in AR and Patient Calling
SysInformation Health care Pvt. Ltd
06.2015 - 03.2017
BBM (Finance) -
Mangalore Institute of Technological Science
PUC - Pre-University Board -
Badri Prasadji PU College
SSLC - Karnataka Board -
Bantwala Madhava Shenoy High School
Similar Profiles
ANGELA CAMPBELLANGELA CAMPBELL
US Manager Credit Balance at R1 RCMUS Manager Credit Balance at R1 RCM
Laura GoodrichLaura Goodrich
Coder III at R1 RcmCoder III at R1 Rcm
Madhu KumariMadhu Kumari
Medical Billing Executive at R1 RCM, Intermountain HealthcareMedical Billing Executive at R1 RCM, Intermountain Healthcare