Vicky

Precise and efficient medical billing professional with more than 6 years of experience in managing various aspects of medical billing, including inpatient, outpatient, physician, DME and Dental billing. Expertise lies in accurately filing claims, effectively resolving rejected claims, and navigating complex insurance contracts, appeals, and Eobs. Additionally, possession of strong skills in quality control, reimbursement management, and implementing process improvements to ensure the utmost accuracy in business operations, billing procedures, and medical records departments.

• Payment Posting: Responsible for timely and accurate posting of payments and adjustments to all patient accounts., Interpreted the explanation for benefits (EOB) and balance transfers money to the secondary insurance or patient liability. Accountable for daily balancing and tracking of cash and adjustment posting., Balanced summary activity in the patient accounting system and reconciles the uncapped cash account on a daily basis., Posted denial information.,
• Patient Eligibility: Gathered accurate and current insurance and demographic information to ensure the clean billing status of a patient encounter., Called individual insurance carriers and utilizes online verification services to verify benefits., Entered all insurance and demographic information into the system., Provided all information (i.e., co-payments, benefit limitations, deductibles, etc.) to locations in the form of 'notes' via the computer system.,
• Prior-Authorization Request: Obtained timely authorizations from various insurance companies., Communicated with insurance carriers, both internal and external customers and patients via phone or written correspondence., Followed up on insurance determination., Reported to supervisor to assure accurate capture of services needing authorization., Responsible for selecting accurate medical records for patient safety and obtaining and validating demographic and insurance information.

• Successful Team Leadership: Led and mentored a high-performing AR team, fostering a collaborative and results-driven work environment. Implemented training programs and performance evaluation systems that resulted in increased employee productivity and satisfaction.
• Improved Revenue Cycle Management: Implemented process improvements that resulted in a significant reduction in claim denials and an increase in clean claim submission rates.
• Client Satisfaction and Relationship Management: Built and maintained strong relationships with clients, understanding their unique needs and providing exceptional service and support.
• Achieved Key Performance Indicators (KPIs): Implemented strategies that resulted in a notable increase in clean claim rate, substantial reduction in total days in AR, significant decrease in denial rate of claims, and successful reduction in aging of outstanding accounts receivable.

• MDIV Dot Base (Physician Billing)
• Athena.net (Physician Billing)
• ECW (Physician Billing)
• Brightree (DME Billing)
• CPR+ (DME Billing)
• Dentrix (Dental Billing)
• OnStaff (Facility & Phys. Billing)

• Reading and Staying up-to-date with Insurance updates
• Building a winning team: hiring & retention
• Strategy & planning
• Focused in achieving KPI's

Hobbies: Watching Anime, Listening to Music, Sports

English: Proficient

Punjabi: Proficient

Hindi: Proficient