Summary
Overview
Work History
Education
Skills
Certification
Interests
Awards
Timeline
Generic
Somashree Ghosh

Somashree Ghosh

Billing And Authorization Specialist
Kolkata

Summary

Results-driven medical billing professional with over four years of experience in eligibility verification, prior authorizations, and end-to-end revenue cycle support, complemented by specialized training in accounts receivable billing and collections. Expertise in insurance verification, authorization workflows, and precise claim documentation ensures timely reimbursement processes. Currently pursuing an MBA in Human Resources through distance learning at Symbiosis University while advancing a career in medical billing, leveraging strong analytical skills and meticulous attention to detail. Recognized as a dependable team player with exceptional multitasking abilities, adept at managing multiple priorities in fast-paced environments and collaborating effectively with cross-functional teams to resolve billing issues and enhance operational efficiency.

Overview

4
4
years of professional experience
5
5
Certifications
3
3
Languages

Work History

Senior Process Associate – Operations

Sun Knowledge Pvt Ltd
01.2023 - 02.2025
  • Managed personnel administration, patient scheduling, and daily audits for compliance.
  • Verified payment eligibility/benefits via insurance calls, portals, and faxes.
  • Oversaw prior/retro authorizations, appeals, PCP referrals, and DME inquiries.
  • Transcribed medical records and automated voicemails.
  • Assigned tasks and conducted team training on billing protocols.

Customer Support Representative – Operations

Startek (Aegis Customer Support Services Pvt Ltd)
05.2022 - 10.2022
  • Verified insurance eligibility and updated patient portals/Excel sheets.
  • Processed faxes from hospitals, pharmacies, and clinics.
  • Transcribed medical voicemails and provided chat-based support.

Customer Support Representative – Operations

Sun Knowledge Pvt Ltd
12.2020 - 04.2022
  • Performed insurance eligibility checks and updated patient records.
  • Managed faxes and transcribed medical voicemails.
  • Maintained Excel task documentation.

Education

MBA - Human Resources

Symbiosis
07-2027

Post Graduate Diploma - undefined

Bharatiya Vidya Bhavan (RCIM)
01-2021

BCA - undefined

Netaji Subhash Engineering College (MAKAUT)
01-2019

Skills

Technical: MS Office, Email Systems, Core Java, HTML, Java, PHP, Gateway Systems

Certification

TEDx Gateway Webinars

Interests

Cooking, Painting, Dancing, Travelling, Styling

Awards

Star Performer for 6 consecutive months (Sep 2023 – Feb 2024)

Timeline

Senior Process Associate – Operations

Sun Knowledge Pvt Ltd
01.2023 - 02.2025

Customer Support Representative – Operations

Startek (Aegis Customer Support Services Pvt Ltd)
05.2022 - 10.2022

Customer Support Representative – Operations

Sun Knowledge Pvt Ltd
12.2020 - 04.2022

Post Graduate Diploma - undefined

Bharatiya Vidya Bhavan (RCIM)

BCA - undefined

Netaji Subhash Engineering College (MAKAUT)

MBA - Human Resources

Symbiosis
Somashree GhoshBilling And Authorization Specialist