Pavithra Jalli

Account Executive - Payables and Receivables

AGS Health

Tirupati, Andhra Pradesh

09.2018 - Current

Maintained records by imaging invoices, debits, and credits.
Generated invoices upon receipt of billing information and tracked collection progress.
Gathered, evaluated and summarised account data in detailed financial reports.
Reduced financial discrepancies, effectively reconciling bank accounts and organising information into accounting software.
Input financial data and produced reports using (AMD and SEP Software).
Accounts receivable (AR) follow-up: Proactively contact insurance companies to check on the status of pending or unpaid medical claims. This can involve making a high volume of calls to resolve issues and expedite payments.
Denial management: Investigate and resolve denied or rejected insurance claims. This includes identifying the root cause of the denial, such as incorrect coding or lack of authorisation, and taking corrective action to resubmit the claim.
Claim submission: Verify the accuracy of insurance claims and ensure their timely and correct electronic submission to payers.
Medical coding: Ensure all medical procedures and diagnoses are accurately translated into standardised codes (like CPT and ICD-10) for billing purposes.
Payment posting: Log and process payments received from insurance companies and patients, and apply them to the correct accounts. This involves interpreting Explanation of Benefits (EOBs) and reconciling payment discrepancies.
Billing inquiries: Handle billing questions and concerns from both patients and insurance providers, providing excellent customer service.
Patient accounts: Maintain and update patient records with payment information, communication notes, and all relevant billing details.
Documentation and reporting: Maintain accurate records of all billing activities, communications, and claim statuses. This also involves assisting with the preparation of reports related to accounts receivable status.
Regulatory compliance: Ensure all billing practices adhere to relevant healthcare regulations and privacy standards, such as HIPAA.
Process improvement: Analyse workflows and performance data to identify process gaps and suggest improvements for greater efficiency and accuracy