Epic
Senior process executive knowledgeable in Accounts receivable, payment processing and medical and vision billing, Authorisation for medical and vision claims. Collects and validates patient demographics, prepares medical charts and conducts insurance verification. Conducts meetings for team to meet Quality and production SLA. Makes strategies to improve and simplify to hit set target within team. Also trained freshers and audits end and billed claims and works upon escalations internally. Detail-oriented team player comfortable working independently. Committed to achieving company objectives and providing excellent assistance to patients.
Offers 4+ years experience in healthcare.
Partnered with healthcare teams to address care plan management for Authorisation services for vision and medical appointments.
Also used to make calls to get retro Authorisation for emergency services.
Dealer with optical and medical teams.
Reviews and Gathered copays and adjustments as per patient’s plan.
Maintained excellent attendance record, consistently arriving to work on time.
Communicated and maintained good rapport with Insurance Representatives to resolve denied and rejected claims.
Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
Collected payments and applied to patient accounts.
Posted and adjusted payments from insurance companies.
Gathered information from multiple sources to simplify billing and organize accounts.
Also worked upon medical and vision billing and Authorization.
Adhered to established standards to safeguard patients' health information.
Filed and updated patient information by preparing patient letters.
Worked for 5 projects and 5 depts in healthcare.
Projects
Performance Incentives
Archived Best performer award for two consecutive months.
Epic
E clinicals for coding
E360 for authorisation
Exploring places
Sports