RICHA SHARMA

RICHA SHARMA

**** ****** **, ******, ** ***** H: 614-***-**** acxs27@r.postjobfree.com

Professional Summary

Bilingual, detail oriented, quality focused professional, successful track record handling complicated

assignments, highly experienced in reconciling insurance and patient payments and resolving account

disputes, proficient in a variety of practice management software application, dedicated to

maintaining strict patient confidentially seeking a position in billing, administrative, social work that

will benefit from my experience and contribute to my professional growth.

Skill Highlights

ICD-9 and 10, CPT 4, Hcpcs billing Strategic planner, patient- centered care

Medicaid/ Medicare and commercial Women's issues, Violence prevention.

insurance billing Various practice management software

Excellent Interpersonal and phone skills. efficient medical documentation auditing

Online claim submission, Follow up and for code appropriateness and guideline.

correct rejected claim. Records organization management

patient/ Customer relations, Maintains insurance and patient aging.

strict confidentiality. Problem solving, Research and analysis.

Knowledge of HMOs and managed care Administrative software MS word, power

plans point, Epic, Imagine, Capi, E-Clinical works

HIPAA Compliance healthcare billing

proficiency

Professional Experience

Radiology Billing and Follow up Jul 2016 to Current

MBX, LLC Columbus, OH

Research and analyze patients accounts, Correct the rejected accounts and follow up with

insurance companies on unpaid charges.

Handle incoming patients call on regular basis.

Prepare invoices and summery spreadsheets, review and process refunds, transfers, void and

adjustments to patient accounts.

Reconcile and enter complex receipts/adjustments into accounting system including collections

and write offs.

Verify patient insurance eligibility and respond to inquiries regarding patient accounts, Contact

patients and insurance companies regarding past due accounts including tracking co-pays and

deductibles.

Review computer generated insurance claim forms for accuracy generate claim for information

received after the date of service.

Respond to inappropriate payment/ denial by working EOBs process and insurance

correspondence.

Patient Finance service specialist Jun 2007 to Feb 2016

The Ohio State Wexner Medical center Columbus, OH

Billed claim online and hard copy using Capi and Epic software, claim follow up, corrected when

rejected, followed up with posting dept. to post the payment.

Experienced biller for family medicines, Medicaid, Medicare and major commercial insurances.

Coded provided service using ICD-9 and 10, CPT -4, HCPC billing

Set up new patient’s accounts, Maintained the accuracy of Insurance claims, verified correct

ICD-9 and 10 codes with medical records dept.

Monthly processing of patient statement, Answer and resolve patient billing inquiry, followed

up on aging accounts, Re- submit insurance claims if necessary, appealed on denied claims,

Knowledgeable in timely filing and appeal process.

Improved revenue for most recent provided over 32% with same patient load.

Insured office practice is following HIPPA regulations.

Revenue resource / Billing specialist/ Office Administration Jul 2005 to Jun 2007

NCO Financial Company Columbus, OH

Engaged in timely Medicaid and Commercial insurance billing with absolute accuracy.

Implemented follow up system expediting recovery of 30 days outstanding payment from non

responsive insurance carriers.

Responsible to post payment to meet month end deadline and responsible for Bonus Checks to

the office staff.

Managed clerical and administrative staff, organized and coordinated office meetings.

Financial Counselor/ Patient account analyst Mar 2004 to Apr 2005

Mount Carmel Hospitals Columbus, OH

Billed Medicare Claims and Follow up.

Maintained log of special Bills, prepaid vouchers, Customer queries and compliance.

Public relations officer Apr 1995 to Jul 1999

Edelman Advertising Agency New Delhi, India

Planned publicity strategies and Campaigns

Organizing promotional events such as press conferences, open days, exhibitions, tours and

visits.

Providing clients with information about new promotional opportunities and current PR

campaign progress.

Liaising with clients, managerial and journalistic staff about budget, timescales and objectives.

Commissioning or undertaking relevant market research.

Designing writing and/ Or producing presentations, press releases, articles, leaflets, "in-house"

journals, reports, publicity brochures, information for web sites and promotional videos.

Education and Training

Master of Arts, Master of Social work

The Ohio State University Columbus, OH, USA

Bachelor of Law

Benares Hindu University Varanasi, UP, India

Bachelor of Arts

Benares Hindu University Varanasi, UP, India

Contact this candidate