Ravina Bamne

1. Working with AR follow-up and denial management.

2. Call the insurance carrier and document the actions taken in the claims billing summary notes.

3. Identify the issue and escalate it to the immediate supervisor.

4. Review emails for any updates.

5. Make calls to insurance companies, or to the client, to follow up on unpaid claims.

6. Work closely with the team leader on quality work.

7. Supporting team members for any queries.

8. Finding trends in denial.

9. Follow up on the claims for the collection of payments.

10. Maintain quality with production.

Follow the RCM Cycle for patient registration.

Insurance verification, pre-authorization, charge capture.

Medical coding, charge entry, claim submission, denial management, payment posting, patient billing, collection, reporting, and analytics.

• Verify insurance information and coverage.
• Follow up on unpaid claims, and resolve discrepancies.
• Follow up on rejected or denied claims, and work to get them resubmitted and paid correctly.
• Maintain patient records, ensuring accuracy, and handle them with confidentiality, adhering to HIPAA guidelines.
• Update billing software with accurate information.

1. Maintain and update office records, databases, and physical and digital filing systems.

2. Provide assistance to departments like HR and Operations as needed.

3. Answering phone calls, managing emails, and directing inquiries to the appropriate personnel.

4. Scheduling and coordinating meetings, appointments, and travel arrangements for staff executives.

5. Documents Scanning and Editing uploding in drive