Prem Rajesh Sharma
Summary
- A highly organized and detail-oriented professional with extensive experience in data Analysis, Tenders and operations.
- Proven ability to effectively manage multiple projects and tasks, while delivering results in a timely and cost-effective manner.
Overview
3
3
years of professional experience
3
3
Languages
Work History
Senior Associate
Accenture Solution Pvt Ltd.
10.2021 - Current
- Keys & Responsibilities include:
Claims Management
1. Review and process medical claims for accuracy and completeness.
2. Verify patient demographics, insurance, and medical information.
3. Assign relevant medical codes (ICD-10, CPT) for diagnoses and procedures.
Charge Entry and Payment Processing
1. Enter patient charges and payment information into billing software.
2. Process payments, adjustments, and denials.
3. Manage and follow up on outstanding payments.
Insurance Verification and Compliance
1. Verify patient insurance coverage and benefits.
2. Ensure compliance with HIPAA, OIG, and other regulatory guidelines.
3. Stay updated on changing regulations and coding guidelines.
Reporting and Follow-up
1. Generate reports on billing and revenue cycle performance.
2. Follow up on pending claims, rejections, and denials.
3. Analyze and resolve billing discrepancies and issues.
Communication and Customer Service
1. Communicate with patients, providers, and insurance companies.
2. Respond to billing inquiries and resolve patient concerns.
3. Provide excellent customer service and support.
Education
B.COM -
Mumbai University
04.2001 -
H.S.C -
Maharashtra Board
04.2001 -
S.S.C -
Maharashtra Board
04.2001 -
Skills
Performance monitoring
Personal Information
- Date of Birth: 03/10/01
- Gender: Male
- Marital Status: Unmarried
Disclaimer
I hereby declare that the information furnished above is true to the best of my knowledge.
Otherinterestareas
- Exploring
- Writing
- Traveling
Timeline
Senior Associate
Accenture Solution Pvt Ltd.
10.2021 - Current
B.COM -
Mumbai University
04.2001 -
H.S.C -
Maharashtra Board
04.2001 -
S.S.C -
Maharashtra Board
04.2001 -
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