Simran Gupta
Mumbai
Summary
Results-driven AR Associate known for high productivity and efficient task completion. Demonstrated expertise in RCM and denial management, ensuring compliance with HIPAA standards. Excel in problem-solving, time management, and adaptability to ensure smooth financial operations and customer satisfaction.
Overview
5
5
years of professional experience
Work History
Sr. AR Asscociate
VIEWGOL HEALTHCARE SOLUTIONS
Andheri East
01.2024 - 11.2024
- Communicated with insurance representatives to complete claims processing or resolve problem claims.
- Verified insurance of patients to determine eligibility.
- Submitted appeals using provider portals and phone communication.
- Analyzed complex Explanation of Benefits forms to verify the correct billing of insurance carriers.
- Used data entry skills to accurately document and input statements.
- Have knowledge of RCM and denial management.
- Resubmitted electronic claims to various insurance carriers.
- Performed follow-up activities on unpaid claims with insurance companies by phone.
- Ensured compliance with HIPAA guidelines when handling confidential patient information.
AR Associate
GEBBS HEALTHCARE SOLUTIONS
Andheri East
09.2021 - 12.2023
- Communicated with insurance providers to resolve denied claims, and resubmitted.
- Verified insurance of patients to determine eligibility
- Submitted appeals using provider portals and phone communication.
- Analyzed complex Explanation of Benefits forms to verify the correct billing of insurance carriers.
- Used data entry skills to accurately document and input statements
- Have knowledge of RCM and denial management.
- Applied HIPAA privacy and security regulations while handling patient information.
Data Entry Operator (DEO)
SEVEN HILLS HOSPITAL
Andheri East
04.2020 - 04.2021
- Working with Ms Excel, Entry patient details, Manage all data related to patient and making report on daily basis
- Completed data entry tasks with accuracy and efficiency
- Maintained files, records and chronologies of entry activities
- Sent completed entries for evaluation and final approval
Education
BACHELOR OF SCIENCE - Information Technology
Usha Pravin Gandhi College of Arts, Commerce And Science
Vile Parle, Mumbai, India10.2020
Higher Secondary Certificate -
Bhavans College
Andheri West, Mumbai, India04.2017
School Secondary Certificate -
Anupa K. Public School
Jogeshwari West, Mumbai, India04.2015
Skills
- Word
- Excel
- PowerPoint
- Teamwork and collaboration
- Claims processing
- Records management
- Claims review
- Insurance verification
- 40 WPM
Extracurricular Activities
Worked as member of NSS (National Service Scheme) for two years. Won 1st Prize in Inter college group dance competition in Janeev Festival in 2017. Worked as a Mentor in Student Leadership Program (SLP) in 2018 and 2019. I was a member of Security Department in Ahan Festival 2018. I was a member of Digital Marketing Department in Techvanza 2018. Won 2nd Prize in Rural Le Carte in Zion 2019. Won 2nd Prize in Treasure Hunt in Zion 2019.
Hobbies and Interests
- Listening Music
- Mehandi
- Stiching
Projects
Online Car Store, HTML, MySQL, Asp .Net, 6 months, 2, It is a website for buying car online. This website help user to select from wide range of car with user friendly interface.
Languages
- English
- Hindi
- Marathi
Personal Information
- Date of Birth: 08/08/99
- Nationality: Indian
- Marital Status: Unmarried
Timeline
Sr. AR Asscociate
VIEWGOL HEALTHCARE SOLUTIONS
01.2024 - 11.2024
AR Associate
GEBBS HEALTHCARE SOLUTIONS
09.2021 - 12.2023
Data Entry Operator (DEO)
SEVEN HILLS HOSPITAL
04.2020 - 04.2021
BACHELOR OF SCIENCE - Information Technology
Usha Pravin Gandhi College of Arts, Commerce And Science
Higher Secondary Certificate -
Bhavans College
School Secondary Certificate -
Anupa K. Public School
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