SAI TARUN REDDY SATTI

• Effective and Professional knowledge in using of RCM tools as PIMSY, Waystar and Avality.
• Resolving claim denials and ensuring timely payments.
• Contacting insurance companies regarding outstanding medical bills.
• Staying updated on healthcare regulations and compliance standards.
• Using effective communication skills and knowledge of health care RCM when dealing with the insurance company to resolve an issue.
• Posting the payments we received through the EOB's.
• Appealing to the insurance company with the required documentation to ensure payments on denied claims.
• Effective utilization of insurance portals and resources to study the claim.
• Using coding knowledge to deal with the coding denials

My role as a Scheduler involved the following.

• Professional knowledge in using of front end tools as Practice fusion & NextGen.
• Scheduling patients appointments.
• Processing the referral we received from the doctors office.
• Ensuring 100% accuracy in obtaining the patients demographics through the patient for billing purposes.
• Checking the eligibility of the patient.
• Using the front end skills in assisting the billing team in submitting a clean claim.
• Charge entry.