Hard-working, dedicated, and enthusiastic individual, motivated and detail-oriented person who is flexible, proficient at maintaining a sense of humor under pressure.
Overview
5
5
years of professional experience
Work History
Customer Service Teammate
Taskus pvt
Airoli Navi Mumbai
10.2024 - Current
Working with legal zoom handling all the paper work for business formation for United States of America with secretary of state's
Processing all the legal filing end to end(order placing, filing with states, rejections, refiling & getting update documents from Secretary of states)
Helping customer Maintaining business compliance
Expertise in trademark prosecution, business formation (LLC, Corp), and knowledge of state-level regulations.
RCM officer
Xplore tech services pvt
Ghansoli Navi Mumbai
11.2023 - 05.2024
Evaluated claim files and recommended appropriate actions based on findings.
Assisted in training new analysts on claims processing procedures and systems.
Conducted audits of processed claims to ensure accuracy and completeness.
Verified documents to ensure accuracy of information provided by customers.
Investigated claim and settlement deals and reviewed coverage determinations.
Followed all company procedures to keep data confidential.
Prepared detailed reports on claim status, payment history, and other relevant information.
Managed escalated cases involving high-value claims or multiple parties involved.
Analyzed claim data to identify trends and recommend process improvements.
Managed workload effectively to ensure timely processing of claims within designated deadlines.
Account Executive - Payables and Receivables
Infinix pvt
Ghansoli Navi Mumbai
12.2022 - 10.2023
Excellent communication and analysis skills to resolve the claims issue
Process medical claims for insurance reimbursement and patient billing.
Verify patient insurance coverage and eligibility before services rendered.
Review and resolve billing discrepancies with healthcare providers and insurers.
Maintain accurate patient records and documentation in billing software systems.
Stay updated on changes in healthcare regulations affecting medical billing procedures.
Adhered to HIPAA regulations when handling confidential patient information.
Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
Account Executive - Payables and Receivables
Gebbs health care solutions
Navi Mumbai
02.2021 - 11.2022
Managed accounts payable and receivable processes efficiently.
Reviewed invoices for accuracy and compliance with company policies.
Coordinated with vendors to resolve billing discrepancies promptly.
Collaborated with team members to streamline payment workflows efficiently.
Processed vendor payments accurately and efficiently.
Coordinated with insurance companies as needed to resolve any discrepancies or disputes in billing or payment information.
Developed strong relationships with insurance companies to ensure timely payment of outstanding balances.
Processed payments and receipts using accounting software systems.
Reviewed policy documents to ensure compliance with industry regulations.
Followed all company procedures to keep data confidential.
Developed strategies for resolving complex claims issues.
Conducted training sessions for new hires on claims processing and company protocols.
Input claim information and payments into company database.
Education
Primary and secondary education -
Shreeram Vidyalaya
Airoli, Navi Mumbai
Higher Secondary education -
JVMS Mehta collage of Science & Commerce
Bachelor in Commerce -
Mumbai University
Skills
Effective Communication: Clearly articulate thoughts, actively listen, and convey information verbally and in writing
Decision-Making: Make confident and timely decisions, even under pressure, by gathering and assessing information
Problem-Solving: Anticipate, identify, and resolve issues creatively to keep projects on track
Risk Management: Identify potential threats, evaluate their impact, and develop mitigation strategies
Work Ethic: Lead by example through honesty, commitment, and a strong dedication to work
Legal documentation
Customer compliance
Data confidentiality
Hobbies and Interests
Cricket & Traveling
Disclaimer
I declare that the information given above is true to the best of my knowledge