Pooja Bakale

• Managed accounts receivable follow-up and denial management for US healthcare customers.
• Prepared and consolidated daily reports on team production, performance, and quality to provide critical insights for management, ensuring continuous improvement.
• Maintained and shared daily reports on client email tracking, project deadlines, project status, and team hourly production with management, ensuring transparency and timely updates.
• Successfully delivered comprehensive training sessions on software, compliance, and processes to new joiners, ensuring smooth onboarding and adherence to company standards.
• Conducted daily huddles to share project updates with the team, fostering clear communication and alignment on goals and progress.
• Maintained daily attendance and leave reports, ensuring accurate record-keeping and facilitating smooth team operations.
• Performed ad-hoc activities with accuracy, meeting timelines consistently.
• Coordinated with cross-functional teams to ensure successful execution of client projects.
• Participated in client meetings and prepared client-facing materials.
• Accurately posted payments received from insurance companies, patients, and other third-party payers to the appropriate patient accounts.
• Reconciled daily payment postings to ensure accuracy and resolve discrepancies.
• Processed electronic and manual remittance advice (ERA) to update patient accounts.
• Verified and posted adjustments and write-offs according to company policies and insurance contracts.

Skills:

• Denial Management Expertise: Experienced in managing denial scenarios and improving claim approval rates.
• Inventory Management: Assisted in managing inventory and generating daily reports.
• Team Collaboration: Worked effectively with team members to handle a large volume of claims.
• Supervisory Roles: Assigned tasks to staff and actively participated in meetings as directed by supervisors or managers.
• Leadership & Mentoring: Demonstrated strong leadership and mentoring abilities.
• Communication Skills: Excellent verbal and written communication in English.
• Attention to Detail: Maintained a high level of accuracy and attention to detail.
• Punctuality: Reliable and time-sensitive, ensuring tasks are completed within deadlines.
• Process Improvement: Keen eye for process and quality improvement.
• Analytical Skills: Strong analytical background, capable of identifying key issues in projects and offering solutions.
• Employee Training: Experienced in training new employees.

• Analyzed and implemented United States Wage Deduction court orders to accurately calculate and arrange the deduction amounts from employees' paychecks, adhering to client specifications and State regulations
• Individually handled more than 10 states
• Worked on Child support, Student Loan and Write of Garnishment
• Prepare the reject report and publish it four times a day

• Handled Vendor queries and provide guidance via Web Chat
• Initiate Chat/call with the engineers and get all the information about particular visit/order
• Do the validations and take decision of maintain or waive the charges
• Make a billing sheet for directory entries and upload it on server