SHANKAR M
Rayakottai
Summary
Accomplished Hospital Billing Specialist with 9+ years of experience in the Medical Field and Claims/Insurance Processing and Handling. Recognized for ability to build relationships with key personnel and help keep the business operations running smoothly. Highly trained and experienced in all facets of medical office procedures, from management to reception. Experienced in the full-cycle billing process, as well as electronic medical records.
Overview
13
13
years of professional experience
Work History
INSUREANCE INCHARGE
CLOUD NINE HOSPITALS
BANGLORE
11.2023 - Current
- Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
- Demonstrated strong problem-solving skills, resolving issues efficiently and effectively.
- Provided support and guidance to colleagues to maintain a collaborative work environment.
- Recognized by management for providing exceptional customer service.
- Assisted with customer requests and answered questions to improve satisfaction.
- Distributed patient satisfaction surveys to address patient concerns, issues and grievances.
- Coordinated work activities and scheduling of medical, nursing and physical plant staff.
- Communicated with patients with compassion while keeping medical information private.
- Improved financial effectiveness by informing and advising board members of current trends, issues and activities.
- Analyzed data related to patient care costs and utilization rates to recommend cost containment strategies.
- Monitored inpatient bed use, facilities and staff to provide optimal use of resources.
- Reviewed billing codes used by providers to maximize reimbursement from insurers.
- Maintained awareness of government regulations, health insurance changes and financing options.
Insurance Specialist
Medi Buddy
BANGLORE
10.2022 - 10.2023
- Key Personnel Handling corporate Business Analyses administrative requirement's Handling with online patients and getting approval with insurance team
Senior Billing Executive
Kauvery Hospital
04.2021 - 10.2022
- Plan, organize, direct and control patient admissions, patient financial services, and the billing and collection of patient accounts
- Analyses administrative requirements, implement changes to operating systems in order to conform to them or to improve patient billing
- Develop and implement operating procedures to improve the operation of the units, recommend and implement systems modifications
- Assure that all hospital billing is coordinated in a timely fashion and that bills are mailed out promptly
- Direct the adjustment, extended payment agreements, and implementation and settlement of hospital accounts, directs and oversees for the appropriate transfer of uncollectible patient accounts to central collections
- Recognized with Best Employee Award for excellence in service delivery
- Submit the pre-authorization request on the latest form circulated by the TPA, replying to the queries and getting approval from insurance TPA / claims / account receivable
Billing Executive
Rainbow Hospital
04.2016 - 01.2021
- Handled all medical billing, medical collections, accounts payable, accounts receivable, medical records, and office operations
- Managed all aspects of the medical billing company with a total employee
- Customer relations and monthly reviews of their accounts
- Identified overdue accounts requiring collection activity, evaluated, and initiated the most effective procedures
- Posted revenues by verifying and entering transactions and local deposits
- Verified the validity of account discrepancies by obtaining and investigating information from customer service departments, and from customers
Pro & Front Office Executive
Sri Chandra Sekara Hospital
07.2014 - 03.2016
- Screened calls and takes messages, maintain confidentiality regarding patients, physicians, employees
- Maintained established hospital and departmental policies and procedures, safety and infection control procedures, and quality assurance procedures
- Assisted in the care of departmental equipment and supplies
- Provided assistance guidance and directions to visitors, patients, employees, and physicians
- Obtained accurate information from patients, ensure all registration forms are complete and collect patient and insurance payments
- Fulfilled organizational responsibilities as assigned, including respecting / promoting patient rights, responding appropriately to emergency codes, sharing problems relating to patients and staff with immediate supervisor
FOE & HK
Sarovar Portico
01.2013 - 01.2014
Industrial Exposure Training
Sarvor Portico
Hosur
11.2011 - 03.2012
- Department Trained: Front Office | House Keeping
- Project Undertaken: IET Report (About the Hotel)
Education
BBA. - Hospital Management Studies
Norwich Institute of Management Studie
01.2022
Diploma In Hotel Management & Catering Technology -
Shevaroys College of Hotel Management & Catering Technology
Yercaud Hills01.2013
Skills
- Medical Billing & Coding
- Medical Terminology
- Billing Inquiries
- Medical Claims Submissions
- Regulatory Compliance
- Financial Procedures
- Reporting
- Training And Development
- Quotes And Invoices
- Department Coordination
Industrial Exposure Training
Sarvor Portico, Hosur, 11/01/11, 03/31/12, Front Office | House Keeping, IET Report (About the Hotel)
Languages
- English
- Tamil
- Kannada
- Telugu
- Malayalam
Hobbies and Interests
- Cooking
- Playing Chess
- Professional Networking
Previous Success Stories
FOE & HK, Sarovar Portico, 2013 - 2014
Personal Information
- Passport Number: Y7547240
- Date of Birth: 05/28/91
Timeline
INSUREANCE INCHARGE
CLOUD NINE HOSPITALS
11.2023 - Current
Insurance Specialist
Medi Buddy
10.2022 - 10.2023
Senior Billing Executive
Kauvery Hospital
04.2021 - 10.2022
Billing Executive
Rainbow Hospital
04.2016 - 01.2021
Pro & Front Office Executive
Sri Chandra Sekara Hospital
07.2014 - 03.2016
FOE & HK
Sarovar Portico
01.2013 - 01.2014
Industrial Exposure Training
Sarvor Portico
11.2011 - 03.2012
BBA. - Hospital Management Studies
Norwich Institute of Management Studie
Diploma In Hotel Management & Catering Technology -
Shevaroys College of Hotel Management & Catering Technology
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