Nisha Gupta
New Delhi
Summary
Dynamic Claim Process Associate with extensive experience at Ingenious BPO, excelling in claims processing and payment posting. Proven ability to enhance account management through critical thinking and meticulous attention to detail. Recognized for consistently meeting production goals while fostering teamwork and collaboration in fast-paced environments.
Overview
4
4
years of professional experience
Work History
Claim Process Associate
Ingenious BPO
Noida
05.2023 - Current
- Identify research and review accounts with credit balances of Patient.
- Post all un-posted and misapplied patient payments.
- Initiate all Patient refunds.
- Send daily refund report to supervisor for review and approval.
- Meet production and quality expectations outlined by management.
Claim Process Associate
Savista Global Solutions
Noida
01.2023 - 04.2023
- Identify research and review accounts with credit balances.
- Post all un-posted and misapplied insurance payments.
- Initiate all insurance refunds.
- Send daily refund report to supervisor for review and approval.
- Post recoupment and remove unnecessary adjustments from accounts.
- Meet production and quality expectations outlined by management.
Process Associate - Posting
Data Solutions Indian
Faridabad
08.2021 - 12.2022
- Responsible for timely and accurate posting of payments and adjustments to all patient accounts.
- Interpreted the explanation for benefits (EOB) and balance transfers money to secondary insurance and patient liability.
- Accountable for daily balancing and tracking of cash adjustment posting.
- Balance summary activity in the patient accounting system and reconciles the unapplied cash account on daily basis.
- Posted denial Information.
- Researched credit balances and processes refunds or transfers to the appropriate party on a weekly basis or according to dept. specific guidelines.
- Submitted refunds/transfers with supporting documentation in the proper for processing to the supervisor.
- Communicating discrepancies in insurance payments and EOB coding to billing specialists and Team Leads for follow up.
Education
Bachelor of Arts - Graduate
School of Open Learning, DU
New Delhi04-2022
Senior Secondary School - Humanities
GGSS School, Srinivaspuri
New Delhi04-2019
High School -
GGSS School, Srinivaspuri
New Delhi04-2019
Skills
- Claims processing
- Payment posting
- MS Excel
- Account Management
- Process analysis
- Insurance refunds
- Schedule Management
- Researching
- Communication
- Critical thinking
- Attention to detail
- Multitasking
- Organizational skills
- Team collaboration
- Teamwork and collaboration
- Continuous improvement
Languages
- English
- Hindi
Timeline
Claim Process Associate
Ingenious BPO
05.2023 - Current
Claim Process Associate
Savista Global Solutions
01.2023 - 04.2023
Process Associate - Posting
Data Solutions Indian
08.2021 - 12.2022
Bachelor of Arts - Graduate
School of Open Learning, DU
Senior Secondary School - Humanities
GGSS School, Srinivaspuri
High School -
GGSS School, Srinivaspuri
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