Mohit Sharma

1. Follow up on denied and partially denied claims.

2. Sending appeal via Availity, UHC Portal and on mailing address and fax.

3. Sending patient letter when COB is not updated or patient is not active on DOS.

• I used to follow up denials for example CO-16, CO-22, CO-146, CO-239 and so on
• Research and resolve denied and unpaid claims from various insurance companies using multiple resources such as payer website, requesting telephonic reconsiderations, etc
• Recognize payer claims processing problems and must be able to take the appropriate action to resolve such issues
• Revenue Cycle Management Flow chart- 1
• Appointment 2
• Patient Eligibility Verification 3
• Registration 4
• Medical Transcription 5
• Coding Team 6.Charge Capture 7
• Claim Submission 8
• Payment posting 9
• Account receivable follow up
• I used to work on special projects and I was providing on Job training to new hires about system navigation and process updates
• I used to work as an Acting Quality Analyst where I used to audit accounts of the team members and also discuss process improvement with the Client, (U.S Quality Team) on calibration call