Room No ****, Sector – *,

Koparkhairane, Vashi,

Navi Mumbai – 400 709

Mob 808-***-****,842-***-****

Sambhaji H. Mohite.

OBJECTIVE :

To achieve a position in a reputed Organization that will provide me an opportunity to make a strong

contribution to organizational goals through continued development of professional & personal skills.

WORK EXPERIENCE :

Present Employment : INVENTURUS KNOWLEDGE SOLUTION Pvt Ltd

Designation : Sr. Associate

Duration : Since April’12 to Till

Job Responsibilities: Billing Dept.

• Working in Medical Billing Process (SNR & BK2BL Dept.)

• Working on Next Gen, Document Manager & Quic Software

• Checking the rejection on gateway & identify the type of rejection (gateway rejection or payer rejection)

• Checking the pt’s details (Name, DOB, Insurance, Subscriber) with the help of the Doucumentum software

• Searching the insurance detail (period, subscriber & dependant) with the help of Internet.

• Identify the correct insurance with card copy & also check for correct payer id which is needful for electronic billing

• Need to verify with the chart note previous encounters by clinic as we get help for process the claim.

• Working on quic software for tasking for need some info from other dept (attach ins, new ins)

Job Responsibilities: Payment Posting Dept.

• Working in Medical Billing Process (Patient Services, COB, FH Dept.)

• Working on client query’s which is very needful to correct maintain patient account

• Updating the COB info which is needful for secondary ins after the primary ins payment

• Working on Next Gen, Document Manager & CART Software.

• Working on different EOB with the help of insurance company update.

• Analyzing different eob & calculating the correct amt (paid, copay, co-ins & deductible) & send to pt or other ins.

• Analyzing the correct payment method (flat rate, case rate & capitation) as per contract.

• Searching the correct pt with DOS for post the payment in NG software.

• Creating the batch with correct deposit date for post the payment & maintaining pt’s A/C

• Working on Financial Hardship & SNCS which is for pt’s responsibly.

Achievement:

Get Promoted in special process & also awarded as Golden worrier Certificate for the Month of October'13, Nov’13,

Dec 13, and Apr’14 with IKS

Company : CALIBER POINT BUSINESS SOLUTIONS Ltd.

Designation : Specialist

Duration : Since April 09 to March 12

Achievement :

Awarded as Star Performer Certificate for the Month of October'07, May’08, Nov’08, Aug.10 & 11 with Caliber Point

Job Responsibilities:

• Working in Medical Billing Process (Ambulance Billing)

• Working on different clients with the help of process Rules.

• Working on Amazon Software for Ambulance Billing process (PCR & FS)

• Entering Patient Details With Insurance (Medicare, Medicaid & Commercial)

• Entering call details into Amazon Software for which service provided to Patient.

• Searching the mileage with the help of Internet.

• Identify the Service provided to patient (ALS & BLS)

• Identification of ICD Codes

• Entering the Charges entry for which service provided to the Patient.

• Query solving within the team member

• Auditing the Process.

Company : CALIBER POINT BUSINESS SOLUTIONS.

Designation : Service Delivery Executive.

Duration : Oct’06 to April 2009

Job Responsibilities:

• Working on Ultipro & Impromptu Software for Payroll Process.

• Unitime Process for Time Card Attendance Software

• Payroll starts with opening the payroll in the system, importing the data

Provided by the client, verifying the given data with the Extracted Pre-Check Detail Report,

• Entering Missing Punches or any Additional Working hours manually on the basis of information provided by Client

into Ultipro Software.

• Printing of Checks and direct deposit advices and generation of Invoices.

• Creation of NACHA File

• Monitor & Answer client calls and direct all emails to the concerned recipients

• Perform additional clerical function incidental to payroll department activities.

• Assisted with the entering of the New Hire data with the completion of forms such as Personal information, direct

deposit information, Employment eligibility information, Agreement forms.

• Assisted with the processing of Weekly, Bi-weekly, and Semi-monthly & Monthly payrolls.

• Auditing the Process.

• Generating the Invoices for Services Provided to Client (Draft Billing Detail Report )

Company : Shikovi Heatgen Technology Pvt. Ltd,.

Designation : Computer Operator

Duration : June 2005 to Dec. 2006

Responsibilities : Handling Accounting & Inventory Log

EDUCATIONAL QUALIFICATION:

Academic Year Year Board / University Class / Percentage %

S.S.C March-1999 Pune Board Second Class / 52 %

H.S.C. Feb-2001 Pune Board First Class / 69 %

T.Y.B.A March-2004 Pune University Second Class / 55 %

M.A. May-2006 Pune University Second Class / 53 %

ADDITIONAL QUALIFICATION :

• Computer knowledge of Windows 2007, DOS, (Word, Excel, PowerPoint & Internet,), Tally 5.4, 6.3 & 7.9.

• Computer Knowledge of DTP.

• English typing Speed of (40 W.P.M.)

INTERESTS :

Visiting to Forts, Playing Cricket etc

Personal Details :

Name : Sambhaji Hanumant Mohite

20th May 1984

Date of Birth :

Gender : Male

Marital Status : Married

Cast : Hindu - Maratha

National ity : I ndi an

Language Known : Marathi, Hindi & English

Tel. No. : 808-***-****, 842-***-****

Emai l Address : samshubh20509@gmai l.com

Date :

Place:

Sambhaji H. Mohite.

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