Vignesh Krishnasamy

Dynamic, technically sophisticated medical biller and Subject Matter Expert with overall Eight years of experience from provider side. Extensive experience working in high volume practices specializing multispecialty provider group for different practices. Solid foundation of training new employees, maintaining physicians Records and an accounts receivables. Articulate communicator, with exceptional interpersonal skills to effectively lead billing department to accomplish practice objectives and meet critical deadlines in a fast-paced, high-volume, and diverse environment. My experience include but not limited to claims submission, payment posting, charge entry, demo entry, eligibility verification, Follow up, Denial management, Appeal submission and Coordinating the team members.

HSC - T.V.K. Higher Secondary School, Chennai

• Project Details: Medical billing. (Which includes end-to-end process), Demo & Charge Entry Payment Posting Denial Management AR Analysis AR Follow-up, Clearing house & Attorney calling. Responsibilities Generating AR Report and assigning work order to team. Preparing daily/weekly/ Month end closure reconciliation reports. Preparing daily/weekly/monthly Reports.
• Adhere to all HIPAA laws and regulations. Maintain strict confidentiality with all documentation.
• Respond to all inquiries from providers requesting information on a broad scope of coverage issues pertaining to explanation of benefits, coordination, and patient eligibility within a timely efficient manner.
• Work well with team to achieve goals of practice. Conducting regular audits & checks on the team & Quality assurance. Mentoring & provide feedback to the team.
• Checking on claim rejections and running EDI reports.. Handling end to end processes which include appealing claims, refiling claims by paper, fax & electronically, working on denial EOBs & resolving the denials.

● Developed and implemented multiple appeal letters for practice to be used with specific usages to insure collection of outstanding monies

● Identified, researched, negotiated, mediated and resolved conflicts from patient, insurance and third parties to achieve successful processing of claims.