Sujithra Surendar
Coimbatore,TN
Summary
Medical Biller with 7 years of experience in hospital and nursing facilities. Accurate and detail-oriented with knowledge of benefits, eligibility, and appeals practices. Successful at efficiently handling client inquiries, billing, and administrative tasks. Familiar with contracts and other documents affecting billing processes. Prepares professional, polished statements and business correspondence. Organized Medical Biller skilled at accurately auditing patient charts and billing corresponding parties. Knowledgeable medical office professional talented at correcting and resubmitting claims, preparing patient charts and reviewing health records to identify proper diagnosis codes for billing. Offers background in reviewing, analyzing and managing medical record information to obtain prior authorizations from insurance companies and ensure payment.
Overview
12
12
years of professional experience
Work History
Senior Billing Consultant
Innovya Technologies
Michigan
10.2022 - 06.2023
- Retrieve important medical information from medical record reports and summarize the information for patients seeking permanent partial disability.
- Receive and deliver medical records to doctors efficiently.
- Make sure doctors have their summarizations in a timely manner to review before the patient's appointments.
- Manage invoices for payment.
- Verified coverage of benefits with the patient's primary and secondary payers.
- Updated the patient's practice management system with the details obtained from the payers
- Initiated prior authorization requests and obtain approval for the treatment.
- Entered billing information into accounting software systems
Quality Analyst (Remote)
Guidehouse India
Trivandrum
01.2022 - 08.2022
- Experienced in HARP(Quadax) software.
- Doing an audit for Payment Posting, Demo, Credits and correspondences.
- Auditing the accuracy of the team's work and provide them regular feedback to improve their performance.
- Identify quality problems and recommend solutions.
- Evaluate analytical methods and procedures to determine how they might be improved.
- Analyzed quality and performance trends to provide recommendations and action plans for improvement.
Group Lead
Equalizercm Services
Mysore
04.2017 - 01.2022
- Worked for 2 Projects (CARD and L CH) under Hospital Vertical for 1 year and learned the Hospital billing process from 2017 to 2018.
- Worked for 2 Projects (Pediatric Associates and Family First) as a Charge entry, Payment poster and Credit balance from 2019 to 2020.
- Promoted as Group Lead from 2021.
- As a Group Lead, I handled 6 clients and 7 members were reported me.
- Coached new employees on administrative procedures, company policies and performance standards.
- Scheduled office meetings and client appointments for staff teams.
- Worked and shared the reports for daily, Weekly and Monthly basis to the clients.
- Attended the weekly and Monthly Calls with Clients to have smooth and efficient process.
Senior Process Executive
Pradot Technologies
Coimbatore
09.2015 - 04.2017
- Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
- Handled account payments and provided information regarding outstanding balances.
- Utilized talents and expertise to complete on-time and accurate monthly closing processes, journal entries and accruals.
- Used data entry skills to accurately document and input statements.
- Managed invoicing and payment processing operations.
- Generated accounts payable reports for management review to aid in financial and business decision making.
- Responded to customer concerns and questions on daily basis.
- Monitored outstanding invoices and performed collections duties.
Claim Adjudicator
Dell BPS
Coimbatore
06.2013 - 09.2015
- Managed large volume of medical claims on daily basis.
- Collaborated with team members to achieve target results.
- Paid or denied medical claims based upon established claims processing criteria.
- Reviewed provider coding information to report services and verify correctness.
- Used administrative guidelines as resource or to answer questions when processing medical claims.
- Maintained knowledge of benefits claim processing, claims principles, medical terminology and procedures and HIPAA regulations.
- Proved successful working within tight deadlines and fast-paced atmosphere.
Administrative Assistant
Compute Age Management Services
Coimbatore
05.2011 - 04.2013
- Executed record filing system to improve document organization and management.
- Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors.
- Exhibited high energy and professionalism when dealing with clients and staff.
- Provided excellent customer care by responding to requests, assisting with product selection and handling ordering functions.
- Cross-trained and backed up other customer service managers.
- Effectively communicated with customers about account changes, new products or services and potential upgrades.
- Followed up with customers about resolved issues to maintain high standards of customer service.
- Trained new personnel regarding company operations, policies and services.
Education
Diploma - Computer Science
Diploma Computer Science Engineering
Coimbatore, IN04.2011
Skills
- Verbal and Written Communication
- Patient Medical Records Maintenance
- Interpersonal Communication
- Appointment Scheduling
- Attention to Detail
- Clerical Functions
- Microsoft Excel
- Medical Terminology
- Protected Health Information
- Records Review & Accuracy
- Patient Health Information Access
- Patient Information Verification
- Medical Report Preparation
- Report Documentation
- Report Analysis
- Statement Billings
- Electronic Health Record Software
- Insurance Authorizations
- Payments Posting
- Benefits Verifications
- Medical Billing
- Physician Interaction
- Accounts Payable and Accounts Receivable
- Billing systems and software
- Month-end closing procedures
Timeline
Senior Billing Consultant
Innovya Technologies
10.2022 - 06.2023
Quality Analyst (Remote)
Guidehouse India
01.2022 - 08.2022
Group Lead
Equalizercm Services
04.2017 - 01.2022
Senior Process Executive
Pradot Technologies
09.2015 - 04.2017
Claim Adjudicator
Dell BPS
06.2013 - 09.2015
Administrative Assistant
Compute Age Management Services
05.2011 - 04.2013
Diploma - Computer Science
Diploma Computer Science Engineering
Similar Profiles
Raghunath MukherjeeRaghunath Mukherjee
Digital Marketing Strategist at Innovya TechnologiesDigital Marketing Strategist at Innovya Technologies
Sathya Priya MuthusamySathya Priya Muthusamy
Implementation Consultant at Innovya TechnologiesImplementation Consultant at Innovya Technologies
Chong Soo KenChong Soo Ken
Cloud Finance Speciallist (Cloud BG CFO) at Sparkoo Technologies (Malaysia) Sdn. Bhd (Cloud Subsidiary for Huawei Technologies (Malaysia) Sdn Bhd)Cloud Finance Speciallist (Cloud BG CFO) at Sparkoo Technologies (Malaysia) Sdn. Bhd (Cloud Subsidiary for Huawei Technologies (Malaysia) Sdn Bhd)
Chandru JChandru J
Talent Acquisition Coordinator (Contractor) at G2Talent Acquisition Coordinator (Contractor) at G2
Tejasweni KarthikeyanTejasweni Karthikeyan
English Trainer at Kshitiksha FoundationEnglish Trainer at Kshitiksha Foundation