Ruby Dagar
Greater Noida
Summary
Detail-oriented Medical Billing Specialist committed to enhancing financial compliance and accuracy. Proven ability to coordinate collections processes and resolve billing discrepancies, leading to improved efficiency and timely payments. Strong communication skills and experience training new team members contribute to a collaborative work environment.
Overview
6
6
years of professional experience
Work History
Collection Specialist
Zealie India Private Limited
Remote
01.2025 - Current
- Analyzed trends in payment delays to recommend targeted process improvements for collections strategies.
- Reviewed account histories to identify discrepancies, facilitating timely resolution of billing issues.
- Coordinated with internal teams to streamline collections processes, enhancing overall collection timelines.
- Documented all interactions with clients in the collections management system.
- Assisted in training new team members on collection procedures and best practices.
AR Representative
Clinic anywhere
07.2023 - 01.2025
- Efficiently processed large volumes of claims in a fast-paced environment, consistently meeting production and quality targets.
- Managed escalated claims, utilizing advanced troubleshooting and negotiation skills to achieve favourable outcomes.
- Proposed settlements for uncomplicated issues, effectively resolving claims and streamlining decision-making.
- Interviewed policyholders to verify details and gather additional information, enhancing accuracy of claims processing.
- Examined reports, accounts, and evidence to ensure the integrity and accuracy of information.
- Mentored new team members, guiding them in workflow and claims processing to improve team integration.
- Collaborated with the Transition Team to ensure smooth integration and operational efficiency during transitions.
Senior Claim Analyst
Optum global solutions
11.2021 - 06.2023
- Processed high volumes of claims efficiently in fast-paced work environment.
- Resolved complex claims issues
- Proposed settlements for uncomplicated issues to resolve claims.
- Interviewed policyholders to verify information and obtain additional details.
- Examined reports, accounts, and evidence to ensure accuracy and integrity of information.
- Maintained daily production quality and achieved monthly targets set by client.
- Verifying details of members and providers in all aspects.
- Worked with Transition Team.
- Knowledge about Provider’s Credentialing.
Claim Analyst/ Claim Associate
MD Everywhere Pvt LTD
08.2020 - 11.2021
- Consistent 100% Customer Satisfaction for 3 Quarters.
- Resolved claims issues by communicating with insurance providers.
- Handled various insurance payment issues.
- Preparing Appeals and sending to payer via email, websites.
- Followed up on appeals submitted to insurance companies to ensure timely responses.
- Identified payer trends and issues to develop effective resolutions.
- Verified patient eligibility for insurance coverage.
- Working on High Dollar accounts to get AR reduced.
- Working on Correspondence and Documentation.
- Knowledge about Provider’s Credentialing.
- Maintaining Credit Log.
- Supporting team in working on various payer modules.
- Worked with Transition Team.
Education
Bachelors in Commerce -
Chaudhary Charan Singh University Meerut
1 2020
Senior Secondary / Intermediate -
Shushila Inter College
1 2016
Secondary School/ High School -
Sangat Green High School
1 2014
Skills
- Collections management
- Billing resolution
- Account analysis
- Performance improvements
- Trend analysis
- Process improvement
- Problem solving
- Decision-making
- Effective communication
- Team collaboration
- New hire training
- Performance improvement techniques
Hobbies and Interests
- Reading books
- Travelling
Languages
- Hindi
- English
- Hindi
Timeline
Collection Specialist
Zealie India Private Limited
01.2025 - Current
AR Representative
Clinic anywhere
07.2023 - 01.2025
Senior Claim Analyst
Optum global solutions
11.2021 - 06.2023
Claim Analyst/ Claim Associate
MD Everywhere Pvt LTD
08.2020 - 11.2021
Bachelors in Commerce -
Chaudhary Charan Singh University Meerut
Senior Secondary / Intermediate -
Shushila Inter College
Secondary School/ High School -
Sangat Green High School