Rajesh RL

Process Associate – Payment automation

• Entering an 837 form into paper claims for a health insurance company involves converting electronic data.
• Ensuring compliance with HIPAA, CMS and insurance billing standards.
• Accurately entering medical claim information into electronic health records (HER) systems or specialized claim processing software.
• Ensuring the completeness and accuracy of claims submitted, verifying patient information, and checking for billing errors or discrepancies.
• Applying correct medical codes (such as ICD-10, CPT codes) to the claims to ensure proper reimbursement.
• Analyze claim denials and work with billing teams to resubmit or appeal rejected claims
• Maintaining high standards for accuracy and attention to detail to avoid errors.

• Monitored execution of contract work for compliance with design plans and specifications.
• Provided technical support during construction phases, addressing any arising issues promptly to minimize delays.
• Completed projects on time and within budget using detailed scheduling techniques and resource allocation strategies.
• Implemented quality control measures at every stage of the project life cycle in order to ensure consistently high levels of performance across all aspects of the work undertaken.
• Created work schedules and adjusted as needed to meet project deadlines and keep shifts properly staffed.
• Identified and resolved potential structural issues.

• Oversaw personnel safety and efforts at work site.
• Supervised material usage and contractor man-hours to keep projects in line with budgetary restrictions.
• Maintained records and logs of work performed and materials and equipment used.
• Worked with personnel and managers to meet strict timelines.
• Guided employees and contractors in task completion, offering assistance to meet tight deadlines.