Madhu Kumari
Senior Associate
Mississauga
Summary
Dynamic Medical Billing Executive with R1 RCM, Inter mountain Healthcare, adept at reducing claim denials through expert ICD-10 coding and enhancing patient satisfaction by streamlining billing processes. Proven track record in denial management and conflict resolution, resulting in increased revenue recovery and optimized reimbursement rates.
Medical billing professional with extensive experience in managing end-to-end billing processes and ensuring compliance with healthcare regulations. Adept at collaborating with teams and consistently delivering results in dynamic environments. Known for strong analytical skills and dependable work ethic that adapts to changing needs.
Overview
6
6
years of professional experience
3
3
years of post-secondary education
2
2
Languages
Work History
Medical Billing Executive
R1 RCM, Intermountain Healthcare
Gurgaon
10.2018 - 12.2024
- Assisted patients in understanding their benefits coverage and financial responsibilities towards healthcare costs.
- Reduced claim denials by accurately coding diagnoses and procedures using ICD-10, CPT, and HCPCS codes.
- Increased cash flow with timely submission of clean claims to insurance companies and government agencies.
- Trained new staff members on medical billing processes and best practices, fostering a knowledgeable workforce capable of providing excellent service to clients.
- Implemented effective appeals strategies for denied claims, resulting in increased revenue recovery rates.
- Improved patient satisfaction by streamlining the medical billing process and reducing errors.
- Negotiated favorable contracts with insurance carriers to ensure optimal reimbursement rates for services provided.
- Prepared cash flow projections, cost analysis and monthly, quarterly and annual reports.
Education
Bachelor of Commerce -
Sunrise University
Alwar, India 06.2013 - 03.2016
Skills
HIPAA compliance
Denial management
Insurance verification
Conflict resolution techniques
ICD-10 knowledge
Accounts receivable management
Patient billing assistance
Claim submission proficiency
Medical billing
CMS-1500 billing forms
ICD-10 coding
Claims processing
Verbal and written communication
Accomplishments
- Collaborated with team of 15 in the development of project.
- Star performer for 3 years continuously.
Timeline
Medical Billing Executive
R1 RCM, Intermountain Healthcare
10.2018 - 12.2024
Bachelor of Commerce -
Sunrise University
06.2013 - 03.2016
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