Ronak Panchal
Ahmedabad
Summary
Competent Accounts Receivable Specialist bringing 4.7 years of experience handling accounts receivable functions. Exemplary skill in resolving billing disputes, providing excellent customer service and applying payments. Recognized for effective leadership with consistent achievement of objectives.
Overview
8
8
years of professional experience
3
3
Languages
Work History
Sr. Process Associate - Accounts Receivable
IFedora Services PVT LTD
09.2021 - Current
- Providing fundamental training to the trainees.
- Running client queries and providing resolution towards those queries.
- Assigning work to the team and providing assistance for complicated cases.
- Performing pre-call analysis and checking status by calling the payer or using IVR or web portal services.
- Maintaining adequate documentation on the client software to send necessary documentation to insurance companies and maintaining a clear audit trail for future reference.
- Recording after-call actions and performing post-call analysis for the claim follow-up.
- Assessing and resolving enquiries, requests, and complaints through calling to ensure that customer enquiries are resolved at the first point of contact.
- Providing accurate service information to customers, researching available documentation including authorization, MAR nurse notes, medical documentation on client's systems, interpret explanation of benefits received, etc. prior to making the call.
- Performing analysis of accounts receivable data and understanding the reasons for underpayment, days in A/R, top denial reasons, using appropriate codes to be used in documentation of the reasons for denials / underpayments.
- Providing training sessions to the team for weekly updates and trending denials.
Process Associate - Accounts Receivable
IFedora Services PVT LTD
09.2019 - 08.2021
- Filed Secondary claims.
- Managed Denials - Worked on Primary/Secondary Rejected claims.
- Submitted Reconsideration, Dispute, Level-1 & 2 appeals to the payer.
- Called Payer and got claims reprocessed which were incorrectly denied.
- Provided basic fundamental training to new joiners.
- Assigned open client queries to responsible individuals.
- Prepared a spreadsheet of trending denials and Escalated to seniors for quick resolution.
- Updated Correspondence notes in PMS.
- Worked on Correspondence sent to the provider
Maintenance Engineer
Indian OIL Corporation Limited
11.2016 - 03.2019
- Maintenance of Rolls Royce makes Allen Marine Engines, Turbocharger, Oil bath filter, Fuel Pumps,
- Fuel Injectors and other equipment.
- Maintenance of Booster shade Gate Valves and Strainers.
- Maintenance of Tank farm Sterar Motors, Body valve & Manifolds.
- Scrapper launching barrel. (Pig Launching)
- Calibration of Fuel injectors.
- Overhauling & Maintenance of engines and air compressors.
Education
Diploma in Mechanical Engineering - Mechanical Engineering
Kilachand Devchand Polytechnic College
Patan, India08.2016
Computer-aided Mechanical Draftsman - Mechanical Drafting Technology, India
Government Technical College
Palanpur07.2013
Skills
- ICD 10
- HIPAA Regulations
- Accounts Receivable
- Centricity & OncoEMR software
- MS Word, Excel, PowerPoint
- MS Office, Outlook
- Staff training and development
- Excellent managerial techniques
- Medical records processing
- Aging Report Analysis
- Regulatory Compliance
- Team Collaboration
- Problem-Solving Skills
- Revenue Cycle Management
Timeline
Sr. Process Associate - Accounts Receivable
IFedora Services PVT LTD
09.2021 - Current
Process Associate - Accounts Receivable
IFedora Services PVT LTD
09.2019 - 08.2021
Maintenance Engineer
Indian OIL Corporation Limited
11.2016 - 03.2019
Diploma in Mechanical Engineering - Mechanical Engineering
Kilachand Devchand Polytechnic College
Computer-aided Mechanical Draftsman - Mechanical Drafting Technology, India
Government Technical College
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