Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
6
6
years of professional experience
Work History
Quality Checker
Coronis IT pvt. ltd.
Noida
11.2023 - Current
Prepared and submitted daily, weekly, and monthly reports on billing activities.
Resolved complex billing issues in a timely manner.
Ensured compliance with company standards, regulations and procedures related to quality control.
Identified opportunities for process optimization and improvement based on results and findings quality monitoring.
Use strong problem solving and team working skills to resolve complex cases, ensuring the Hipaa guide lines.
Trained personnel on proper use of tools, equipment, materials, and software used for quality assurance purposes.
Monitored completed work and provided feedback to improve team member performance.
Process Subject Matter Expert
Coronis Healthcare
07.2022 - 11.2023
Training entire team in medical billing and managing US client resources
Provided training on medical billing software applications.
Maintained updated knowledge of changes in healthcare regulations that impact the medical billing process.
Assisted with preparation of reports, budgets and other documents as needed.
Trained new team members on company policies and accounting systems to keep team operations productive and efficient.
Sr. Account Receivable
R1RCM
Noida
01.2021 - 07.2022
Generated reports detailing key metrics such as days in accounts receivable, denial rate.
While resolving claims we take responsibilities for maintaining a high standard of accurate, up to date client information during all stages of the client relationship.
Accurately record resolutions on high aging claims or denied claims to support the process.
Sr. Account Receivable
MD everywhere pvt. ltd.
Noida
06.2019 - 01.2021
Generated reports detailing key metrics such as days in accounts receivable, denial rate.
Developed strategies to reduce denials, improve accounts receivable, and enhance revenue cycle performance.
Reviewed patient billing information to ensure accuracy and compliance with federal and state regulations.
Account Executive - Payables and Receivables
Pacific BPO pvt. ltd
Noida
03.2018 - 05.2019
Responded to customer inquiries and complaints regarding medical billing issues.
Ensure that QC standards are fit for claims submissions and denials.
Education
Master of Science - Physics
Singhania University
Noida
05-2020
Bachelor of Science - Electronics Technology
Kanpur University
Kanpur
07-2015
Intermediate
JKG International School
Ghaziabad
04-2012
High School Diploma -
JKG International School
Ghaziabad
07-2010
Skills
Customer Service
Defect Identification
Collections Management
Insurance Verification
Patient Billing
Billing and Collection Procedures
Languages
Hindi
First Language
English
Elementary (A2)
A2
Timeline
Quality Checker
Coronis IT pvt. ltd.
11.2023 - Current
Process Subject Matter Expert
Coronis Healthcare
07.2022 - 11.2023
Sr. Account Receivable
R1RCM
01.2021 - 07.2022
Sr. Account Receivable
MD everywhere pvt. ltd.
06.2019 - 01.2021
Account Executive - Payables and Receivables
Pacific BPO pvt. ltd
03.2018 - 05.2019
Master of Science - Physics
Singhania University
Bachelor of Science - Electronics Technology
Kanpur University
Intermediate
JKG International School
High School Diploma -
JKG International School
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NITHEESH KUMAR G.N.NITHEESH KUMAR G.N.
Senior Associate – Claim's Coordinator at Corrohealth Pvt LtdSenior Associate – Claim's Coordinator at Corrohealth Pvt Ltd