To work in an organization where, I can provide my technical as well as soft skills with complete sincerity as to escalate the progress of the organization as well as my career path.
· Experienced in Medical billing like benefit configuration, Claims adjudication, Payer claims, deny claims.
· Work experience in Facets application, Xcelys application and in various markets like Utah, Arizona, Connecticut, New Mexico, Colorado, Washington.
· Good understanding of revenue cycle management of US health care providers.
· Worked in collection of payments, billing issues, claims payment and billing queries.
· Enhanced in each client, standard operating procédures (SOPs)
· Performed regular inventory audits, completed weekly claim reports on priority basis.
· Managed all aspects of projects , manual claims including timeline, coordination with entier team
· Proficient in business process management, highly creative and customer oriented, with an overall understanding of the ‘Big Picture’
· Assisted other process analysts with automating reporting functionality using Power BI tools Power BI reporting.
· Responsible to track and publish progress report as per management’s requirement.
• Responsible to verify and include all type of benefits covered in Hospital Indemnity.
• Responsible to cross check all the digital documents and proceed to high aged claim settlements.
• Communicate with onshore designated team for any discrepancy in claimant documentation further investigation.
• Responsible to publish daily/weekly/ monthly process status reports on high aged claim settlements.
• Responsible to publish reports in Microsoft excel for Client/management review.
Benefits Administration
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