Summary
Overview
Work History
Education
Skills
Affiliations
Accomplishments
Trainings and Skills
Declaration
Timeline
Generic

SAI GANESH YARAGANI

HYDERABAD

Summary

Dynamic Medical Billing Executive with expertise in claims processing and HIPAA compliance at UNISLINK PRIVATE LIMITED. Proven track record in developing efficient billing procedures and enhancing patient data management. Strong analytical skills complemented by effective communication, ensuring accurate insurance verification and timely resolution of denied claims. Committed to delivering exceptional results in healthcare billing.

Overview

3
3
years of professional experience

Work History

Medical Billing Executive

UNISLINK PRIVATE LIMITED
HYDERABAD
02.2022 - 03.2024
  • Ensured compliance with HIPAA regulations related to confidentiality of health care information.
  • Reviewed patient accounts for accuracy and completeness of insurance information.
  • Prepared and submitted daily, weekly, and monthly reports on billing activities.
  • Developed and implemented billing procedures to ensure accurate and timely payment of claims.
  • Verified insurance coverage eligibility with insurance companies.
  • Maintained up-to-date knowledge of coding systems such as ICD 10 and CPT codes used in medical billing processes.
  • Initiated appeals process when necessary to resolve denied claims or incorrect reimbursements from insurers.
  • Reviewed claims for coding accuracy.
  • Contacted insurance providers to verify insurance information and obtain billing authorization.
  • Completed and submitted appeals for denied claims.
  • Reviewed account information to confirm patient and insurance information is accurate and complete.
  • Applied HIPAA privacy and security regulations while handling patient information.
  • Completed month-end and year-end closings, kept records audit-ready and monitored timely recording of accounting transactions.
  • Performed data entry for patient information into the medical billing system.

Trainee Sales Executive

Sun Pharma Laboratories Ltd
HYDERABAD
04.2024 - 09.2024
  • Created detailed reports on customer visits, sales performance metrics, competitive analysis.
  • Performed regular visits to doctors' offices and hospitals to discuss products with health care professionals.
  • Managed smooth and effective communication among physicians, patients, families and staff.
  • Conducted market research to identify target markets and develop strategies for increasing sales volume.
  • Organized sales presentations, seminars, and workshops for medical professionals in order to promote product awareness.
  • Developed relationships with key opinion leaders within the medical community.
  • Provided feedback from field visits regarding product performance and issues encountered.
  • Provided technical support to physicians by answering questions about product features, benefits, and uses.
  • Created detailed reports of sales activities including customer feedback, competitor analysis, and market trends.
  • Developed and implemented detailed plans for introducing new products to physicians and other healthcare providers.
  • Planned promotional events such as seminars or webinars focused on educating customers about our products and services.
  • Created and maintained relationships with key stakeholders, including medical professionals, healthcare providers, and pharmaceutical distributors.

Education

Bachelor of Pharmacy - Pharmacy

SRI INDU INSTITUTE OF PHARMACY
HYDERABAD, INDIA
07-2022

Skills

  • Medical billing
  • EMR/EHR systems
  • Claims processing
  • Billing procedures
  • Insurance verification
  • HIPAA compliance
  • ICD and insurance guidelineses
  • MS Office skills
  • MS Excel
  • Quality assurance
  • Patient records and data management
  • SAP ISU billing

Affiliations

71st Indian Pharmaceutical Congress - 12/2019

Participated in the 71st IPC held at Sri Ramachandra Institute of Higher Education and Research in Chennai, Tamil Nadu, for three days

Balaji Institute of Pharmaceutical Sciences - (04/2018)

I took part as a delegate in Phatmasthra 2018, held at Balaji Institute in Warangal for two days

2nd International Conference on Innovation in Drug Development and Clinical Pharmacy - (02/2020)

Actively participated and delegated at Vishnu Institute of Pharmaceutical Education and Research held during February 17, 18, 2020

Yashoda Hospitals

Volunteer at the Cancer Awareness Walk on World Cancer Day – Yashoda Hospitals (2017 - 2018)

Accomplishments

  • Certificate of Achievement for Best Teamwork, recognizing for special project| Feb-2023

Trainings and Skills

  • ICH E6 GCP training
  • Clinical trial protocol and informed consent
  • Investigator site management and monitoring
  • E2E - preparation, review, amendment, and approval of an informed consent form (ICF)
  • Study management (study level, country level, and site level)
  • Risk-based monitoring in clinical trials, clinical development, and post-marketing studies
  • Reporting deviations, management of deviations in clinical trials
  • Global study management

Declaration

I do hereby declare that the particulars of information and facts stated herein above are true, correct, and complete to the best of my knowledge and belief

Timeline

Trainee Sales Executive

Sun Pharma Laboratories Ltd
04.2024 - 09.2024

Medical Billing Executive

UNISLINK PRIVATE LIMITED
02.2022 - 03.2024

Bachelor of Pharmacy - Pharmacy

SRI INDU INSTITUTE OF PHARMACY

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SAI GANESH YARAGANI