| Additional skills: |
SUMMARY
1. Exposed to both calling and analysis
2. Handled denials since the start of this career.
3. Ability to work closely with issues and resolve it systematically thus improve collections.
4. Clearly understands the needs of both client and employer.
PROFESSIONAL EXPERIENCE IN MEDICAL BILLING
E Care (P) LTD,
Analyst (Jan 2006- till date)
1. Worked in an allocated spreadsheet of MCD NY claims aged more than 30 days. Updated MCD denials (notes) from Remittance advice into the software and worked on action.
2. In less than 10 days identified the problems that affected 80%... Show all SUMMARY
1. Exposed to both calling and analysis
2. Handled denials since the start of this career.
3. Ability to work closely with issues and resolve it systematically thus improve collections.
4. Clearly understands the needs of both client and employer.
PROFESSIONAL EXPERIENCE IN MEDICAL BILLING
E Care (P) LTD,
Analyst (Jan 2006- till date)
1. Worked in an allocated spreadsheet of MCD NY claims aged more than 30 days. Updated MCD denials (notes) from Remittance advice into the software and worked on action.
2. In less than 10 days identified the problems that affected 80% (1900 claims) of MCD claims and sent necessary mails to senior management about how to resolve the problem.
3. Gave suggestions to senior management to get $$$’s for claims, which would otherwise be adjusted off using billing rules.
Analyst cum Caller (Aug 2005- Dec 2005)
1. Responsible for allocated Insurance’s claims: Here my work included calling and taking action like formatting appeals, W-9 form, Medical records etc.
2. Reduced AR days of the allocated insurance dramatically. Aetna & UHC AR days came down from 75, 63 to mere 34, 32 respectively in less than 100 days.
3. Listed the problems affecting collections in game plan and got few billing rules to adjust affected claims, which will never pay.
AR Calling (Oct 2003-July 2005)
1. Handled more than 7200 out-bound calls in my 2-year calling career.
2. Worked in no-fault, workers compensation and regular insurance claims.
3. Solved several provider issues by reaching Provider relation coordinator and taking the issue to client.
4. Also did Patient eligibility, credentialing for most of the insurance.
PERSONAL INFORMATION
Date of Birth 25/08/1973
Education (BBA), Madras University Show less
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