Naga Lakshmi
Quality Analyst - US Healthcare
Bengaluru,India
Summary
Competent Medical Billing Analyst with 5 years of experience in handling wide variety of medical coding and billing tasks, Confident in interpreting and tracking complex billing and coding information. Identifies hidden revenue by uncovering process inefficiencies, coding errors and claim denial patterns. Interface and collaborate with clients and internal team members, providing consultative enhancement recommendations based on research. Improve existing processes and procedures to align with strategic goals.
Overview
6
6
years of professional experience
3
3
years of post-secondary education
Work History
Revenue Cycle Audit Specialist
Vohra Wound Physicians
Bangalore, karnataka
09.2021 - 08.2022
- Analyzing requirements and designing of solutions to address client's requirements.
- Participate in walkthrough sessions/group meetings. Ensure compliance with organization and project defined processes.
- Continuously make improvements to agile processes, testing practices and methods.
- Evaluate sample management practices for compliance and operational excellence improvement on continuous basis.
- Assists in development of systematic approaches for assuring high quality services and escalate unresolved issues to Senior Management and work towards resolutions.
- Provide feedback to Associates/Management on issues with work flow or any issues observed
during research.
Senior Analyst - US Healthcare
R1 RCM | HEALTHCARE REVENUE CYCLE MANAGEMENT
Bangalore, Karnataka
08.2020 - 08.2021
- Worked as analyst depending on requirement based on experience in health care industry and this role entailed in interpreting and tracking complex billing and coding information.
- Resolves client and audit issues to completion with attention to detail and highest level of professionalism.
- Continuously make improvements to agile processes, testing practices and methods.
- Assists in development of systematic approaches for assuring high quality services.
- Escalate unresolved issues to Management and work with Supervisor to resolve issues.
- Created Workflows and project guidelines based on identified trend for smooth functioning.
Medical billing Specialist
CERNER HEALTHCARE SOLUTIONS INDIA PVT LTD
Bangalore, Karnataka
08.2018 - 07.2020
- Worked for claims processing, which is part of medical billing and this role entailed understanding client requirements to avoid rejections or invalids from clearing house to avoid denials and to propose solutions.
- Managing multiple process and associates of multiple clients in absence of Team lead Awarded as best floor support for Quarter (Oct’19 – Dec’19).
- Identifies opportunities to improve revenue cycle processes and proposes solutions to capitalize on opportunities.
- Assist in identifying and recommending best practices for business analysis, training and end user support functions.
- Flexibility to learn and adapt to changes in procedures and work environment.
- Perform additional process reviews as directed by Manager; identify opportunities for improvement and implement changes as directed.
Accounts Receivables Analyst
Omega Healthcare
Bangalore, Karnataka
10.2016 - 07.2018
- Requirement gathering, analysis, solutioning and support.
- Pre-Live and Post - Go Live Implementation and Production Support.
- Worked on Revenue Cycle Management - Workflow optimization and Testing.
- Work with hospital and professional billing procedures, charging and claim generation workflows holding good understanding of ICD-10, CPT and HCPCS Codes.
- Reporting of daily metrix of project to Senior Executive.
- Compiles and interprets information from system generated reports in order to provide information to assist management in decision making.
Education
Associate of Science - Computer Science
Madurai Institute of Social Sciences
Madurai, Tamil Nadu 06.2013 - 05.2016
Skills
US Healthcare - Payer/Provider
Software Expertise
- Cerner Practice Management
- Nextgen - Enterprise Practice Management
- Touchstone
- EPIC
Recognitions
- Received Award for Quick debugging Thrice (06/2013 – 05/2016) C, C++, VB programs.
- Received consecutive Employee of the Month award for outstanding deliverables in Omega.
- Received Award for Quality in Cerner Received best performer award for maintaining quality above 98% on regular basis.
- Received Award for Best Practice sharing in Cerner.
- Topper of the Batch in Academics (06/2013 – 05/2016) for outstanding performance in Academics.
- Recognized as best employee global level in Cerner and R1.
Timeline
Revenue Cycle Audit Specialist
Vohra Wound Physicians
09.2021 - 08.2022
Senior Analyst - US Healthcare
R1 RCM | HEALTHCARE REVENUE CYCLE MANAGEMENT
08.2020 - 08.2021
Medical billing Specialist
CERNER HEALTHCARE SOLUTIONS INDIA PVT LTD
08.2018 - 07.2020
Accounts Receivables Analyst
Omega Healthcare
10.2016 - 07.2018
Associate of Science - Computer Science
Madurai Institute of Social Sciences
06.2013 - 05.2016
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