MUTLURI SURESH
Hyderabad
Summary
A dynamic professional with over 10 years of rich experience in the medical billing industry. Worked in different specialties (physician and hospital billing) and also have hands-on experience in different billing software (like MS400, MDIV, Centricity, NexGen, Medics, EPIC, Allscripts, Touchstone, Insync, etc.). Dedicated Team Leader with expertise in quality assurance initiatives, issue resolution and interpersonal communication. Proficient with project management, personnel training and production scheduling. Sets example for work ethic, punctuality and quality.
Overview
13
13
years of professional experience
Work History
Team Leader
Data Marshall Pvt Ltd
Hyderabad
08.2022 - Current
- Playing the role of Team Leader for Credit Balance and Payment Posting.
- Preparing PPT's on project progress for client calls
- Attending client calls on a weekly and monthly basis.
- Auditing user files, handling users' clarifications.
- Preparing weekly and daily feedback reports.
- Conducting refresher training on a weekly basis.
- Conducting audit review meetings through PowerPoint presentations.
- Regularly assess team performance and processes. Takes feedback from team members and implements improvements to enhance efficiency and collaboration.
- Clearly communicates the goals and expectations of the project. Make sure each team member understands their role, and how it contributes to the project's success.
- Handling a team of 18 users with effective leadership, communication, and project management.
- Handling client escalations and rebuttals.
Quality Analyst
Omega Healthcare Management Services Pvt Ltd
Chennai
06.2018 - 06.2022
- Joined as Senior Process Associate and promoted as Quality Auditor
- Played a role of Quality Auditor for Credit Balance
- Auditing user files, Handling users' clarifications
- Preparing users ABCD report, preparing weekly feedback report, Daily feedback reports.
- Conducting refresher training on daily basis
- Conducting Audit review meets through power point presentation.
- Taking action on Olden days Bucket credit and High dollar claims.
- Preparing Overpayment letter to Insurance.
- Preparing Insurance refund, Patient refund packets.
- Calling to Insurance to check COB information and refund status etc.
- Transferring patient excess payment to patients other MRN.
- Reviewing Small balance adjustment, bad debts, incorrect adjustments etc
Senior Process Associate
AGS Healthcare Pvt Ltd
Chennai
05.2015 - 12.2017
- Joined as Credit balance analyst.
- Analyse the Credit accounts through EOB, Correspondence and taking necessary action to resolve credit
- Action on Older days Bucket Credit Claims.
- Sending Overpayment letters to Insurance Companies
- Credit Balance Analysis - Insurance and Patient Refunds, Small Balance Adjustments.
- Taking care of Fund Transfer within patient account.
- Patient Refunds and Insurance Refunds
Senior Process Executive
Pride Technologies
Chennai
10.2013 - 04.2015
- Posting payments Manually & Electronically.
- Denials posting.
- Quality checking on Payment posting files.
- Preparing Reconciliation reports on payment files.
Process Executive
Dell International Services
Chennai
01.2012 - 10.2013
- Patient Account creation and coding.
- By Using demographic information creating patient account and MRN#
- Giving diagnostic codes and cpt codes to account.
- Payment posting.
- Denials posting.
Education
Bachelor of Commerce -
S.C.P Jain College
Chennai01.2011
Hr.Sec.School -
SKPD Boys Hr. Sec. School
Chennai01.2008
S.S.L.C -
SKPD Boys Hr. Sec. School
Chennai01.2006
Skills
- Project management
- Performance assessment
- Data analysis
- Quality auditing
- User training
- Process improvement
- Report preparation
- Feedback implementation
Computing Software Exposure
- MS Excel - VLOOKUP function, preparing chart reports, PPT using Power BI
- MS Office
- Completed typewriting in English, junior level, first class with distinction
Timeline
Team Leader
Data Marshall Pvt Ltd
08.2022 - Current
Quality Analyst
Omega Healthcare Management Services Pvt Ltd
06.2018 - 06.2022
Senior Process Associate
AGS Healthcare Pvt Ltd
05.2015 - 12.2017
Senior Process Executive
Pride Technologies
10.2013 - 04.2015
Process Executive
Dell International Services
01.2012 - 10.2013
Bachelor of Commerce -
S.C.P Jain College
Hr.Sec.School -
SKPD Boys Hr. Sec. School
S.S.L.C -
SKPD Boys Hr. Sec. School
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