Suhasini Mudragada

Quality Control Analyst - Accounts Receivables ( Ambulence Medical Billing)
Omega Healthcare
December 2022 ( April 2023 on paper ) – October 2024

• Ensured Billing Accuracy: Reviewed and validated medical claims, including CPT, ICD-10, and HCPCS codes, to ensure accurate billing and compliance with payer guidelines and healthcare regulations.
• Conducted Quality Audits: Performed comprehensive audits of billing records and accounts receivable transactions, identifying discrepancies and ensuring adherence to internal controls and industry standards.
• Resolved Billing Issues: Investigated and resolved complex billing discrepancies, denials, and rejections, collaborating with insurance carriers and healthcare providers to correct and resubmit claims.
• Data Analysis and Reporting: Analyzed accounts receivable data to identify trends, patterns, and areas for process improvement; prepared and presented detailed reports on billing accuracy, claim status, and quality control metrics to senior management.
• Improved Processes: Developed and implemented quality control protocols and process improvements, enhancing billing accuracy, efficiency, and compliance with healthcare regulations and payer requirements.
• Ensured Compliance: Maintained thorough documentation of quality control activities, including audit findings and corrective actions, ensuring compliance with HIPAA and other relevant healthcare standards.
• Provided Training: Delivered training and support to billing staff on quality control practices, medical coding, and compliance requirements, fostering a culture of accuracy and regulatory adherence.

Anesthesiologist (Medical Billing Focus) ( Physcician billing)
AdvantEdge Healthcare Solutions
October 2021 – March 2022

• Skilled Anesthesiologist with 6 months of experience in medical billing and coding. Proficient in managing insurance claims, coding procedures, and resolving billing discrepancies. Demonstrated ability to streamline billing processes and ensure accurate claim submissions. Adept at collaborating with healthcare teams to optimize revenue cycle management. Strong knowledge of CPT and ICD-10 coding systems. Committed to enhancing operational efficiency and compliance in healthcare billing.

Medical Billing Specialist - Ambulance Services, Omega healthcare managment Feburay 2019 – Decmeber 2022

• Processed Ambulance Claims: stated carrier as an AR for billing and coding for emergency and non-emergency ambulance services, ensuring accurate submission of claims to insurance carriers and government payers.
• Applied Correct Coding: Utilized appropriate coding systems (CPT, ICD-10, and HCPCS) to accurately represent ambulance services, including transportation levels and associated medical services.