Vandana Gautam

Order to Cash process (Billing)

1. As Delivery Practitioner, I had responsiblity for transaction processing In Outsourcing Industry for some Transaction processing/Data Entry/Insurance Verification in Operations.

2. I handle queries through calls and Email follow-ups for the billing details, rejection of insurance claim.

3. I fax the documents of insurance manualy excess of portal ESD account or Paper claim to Pharmacy.

4. I take client calls for the process verification details.

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PROJECTS:

Copay Billing:

1. Minimizing the amount of manual intervention in the process.

2. Allowing clients to place orders through digital systems.

3. Providing reps with the information they need to sell effectively. his includes customer information as well as inventory information.

4. Maintaining patient records, which includes detailing patient treatments and diagnoses as well as updating payment and medical insurance information.

Processing patient payments and refunds.

5. Identifying medical coding mistakes, typing errors, as well as patient underpayments or overpayments and rectifying them accordingly

6. Creating suitable payment plans for patients based on their monthly income and financial obligations.

7. Communicating with medical insurance providers to verify whether patient treatments will be covered.

8. Contacting insurance provider & prescriber through email, written correspondence, or telephone to inform them of overdue balances.

9. Resolve any issues relating to the patient account

10. Explanation Of Benefits (EOB) is manual documentation of the report sent by the insurance companies to the medical service providers aim:-paid claim,amount reimbursed or adjusted

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Approved Cases :-

Need to do billing process via Virtual card or CE2000.

Denial Cases:-

Need to take calls to clear the rejection of the case.

Patient out reach required for the payment or medication or insurance amount .