Skilled in AR Management, Client Service and Training. A hard working professional with 2+ years of experience in end to end projects on Revenue Cycle Management, i.e. eligibility and benefit verification in health and welfare domain, Denials Management, Claims Rejections, Claims Recoupments/Refunds, Obtaining prior Authorizations. Claim Appeals, Claim Reconsideration Letters, Correspondence analysis etc.
Priority to high dollars and sensitive case for those whose TFL about to expire.
Work for provider's based billing ,somehow any issue raised in billed claims then.
Recreate the claim again with correct info and void the previous claim.
Client interaction on weekly,monthly and Quarterly basis regarding the workflow.
Inducting different micro level processes of RCM like AR follow up ,Denial Management, ERA (electronic remittance advice) management,Appeal and Grievance.
Worked on COVID19 Claims.
Focus on resolving the denial and rejection rather than writing off the amount
Good Knowledge of MS Excel and MS Word
Strong Communication Skills
Detail Oriented
Effective Problem Solving
Strong Organizational Skills