Medical Billing Pvt Ltd
Resume:
S.GANGAI VASAN.
(Old no: **) *, State Bank Colony,
Adambakkam, Email Id: ***********@*****.**.**
Chennai-600088. Contact: 91+988*******
WORK EXPERIENCE
Overall 7 +Years hands on Experience.
• 7+ Years Experience in outsourcing projects (Medical Billing) with US clients. Strong background in Team handling, Client coordination, Account Receivable, Denials and Overall Medical billing End to end process.
Report Activites: To prepare the following reports and send it to client office. Because to know what kind services to do make their revenue improvement.
i Month end Reports [Contains charge and cash analysis with the previous years and month, overall AR status and comparison with the previous months, Overall Adjustment made for a particular month, Correspondence Summary by insurancewise and Detailed corresponsdence and prevention methods, Target status].
ii Weekly Reports [AR reports for a bucket [by hierarchy], Collection reports, Correspondence reports]
iii Daily Reports [Day updates, Clarification reports, etc].
Experience by companies
• BilledRight Healthcare Solutions PVT LTD., Chennai
Team Leader (Internal Operations & Client Coordination) – Sept 2010 – Present
• Ecare India PVT LTD., Chennai
Team Coordinator – Oct 2008 – Sept 2010.
• Celer Soft Services PVT LTD., Chennai
Senior AR Caller Executive (Voice) – July 2007 to Sep 2008.
• India Healthcare Solutions PVT. LTD., Chennai
Team Leader – November 2005 to July 2007.
ACADEMIC QUALIFICATION
Bachelor of Science (B.Sc in Physics) 1998 – 2001
Master of Science (M.Sc in Computer Science) 2001 – 2003
Master in Business Administration (Operations) 2008 - 2010
WORK ENVIRONMENT
1. Billedright Healthcare Solutions PVT LTD.,Chennai
Billedright., Chennai., is a Medical Billing Company dealing Medical Coding, Charge Entry, Cash Posting, Claims Transmission, Accounts Receivables, Patient Billing & Claim processing & Adjudication.
Job Responsibilities
Allocate Daily works to team members, Monitoring their works and productivity, preparing reports [daily, weekly and monthly] for Daily, weekly and monthly review meeting, also sending client specification reports.
US client Co-Ordination [daily for new clients or weekly for existing client]
Hands on experience in Transition Phase, Checking Credentials for Providers [new clients and also existing clients if there is any issues]
Weekly meeting with team members
Monthly Training session to team members
Post call [made by callers on the previous night] Analysis
Correspondence Audit by weekly
Monitoring AR and cash flow
Let the callers do resolve issues [if any]
Billing patient Statements by Collection letters
Replying Client Office Mails
Periodical Reports to US Clients
Appeals, Fee schedule management etc, Delinquent patient accounts.
2. E-Care India PVT. LTD., Chennai
E-Care India PVT. LTD., Chennai is a US based organization which is leading medical billing outsourcing company and they are also into medical billing coding, software, etc., and where files received from US hospitals are transcribed and sent back within 24 hours to the respective clients through ways of Patient Demographic entry, chare entry and cash posting and action taking of denials and AR– follow-ups.
Job Responsibilities
Accounts Receivable Followup
Work allocation for denials Handling team
Auditing control (Demographics & Charge, Cash posting)
Periodical Reporting to US clients
Co-ordination with U.S. Billing office
Interact with Night team to enable to complete the calling process.
Taken the responsibilities of Month End Reports
QA in patient AR and manage overall team members.
3. Celersoft Services PVT. LTD., Chennai
Celersoft Services PVT. LTD., Chennai which provides billing for US providers and hospitals including insurance verifications, superbill charge entry & cash posting, Denials handling, Insurance AR.
Experiencing with voice in AR process (Calling with Insurances & Patients)
Clear the insurance pendings with immediate calling through the insurance reps.,
Calling with Dr office in case of issue handling and updates of the process.
4. India Healthcare Solutions PVT. LTD., Chennai
India Healthcare Solutions PVT. LTD., Chennai medical billing company, which provides billing to US Providers including with Insurance verification, pt registration entry & Documents linking process, charge entry & Cash posting, Denials handing, Insurance AR and patient AR.
Team Lead for the following departments
i) Insurance verification Department
Handling Insurance Verification department that works with checking patient current coverage information and eligibility by insurance online as well as calling with respective carriers.
ii) Account receivable Department
Handling Account receivable department works with insurance denials and to reduce the pending balance in insurance bucket as well as patient balance bucket.
TECHNICAL PROFILE
Operating System : Windows 98,Windows XP,DOS, Linux
Database System : MS Access, Oracle
Languages : C,C++
Web Application : HTML, Java Script
Healthcare management software : IMS, Medic, medical manager, Sequel-med
Personal Particulars
Date Of Birth : 29/04/1981
Father’s Name : P. Siva Subra Manian.
Marital Status : Married
Permanent Address : 26 State Bank Colony,
Adambakkam. Chennai – 600 0088.
Contact number : (91+) 988**-*****
E-Mail id : ***********@*****.**.**
Declaration
I hereby solemnly declare that the above particulars furnished by me are true to the best of my knowledge and belief.
(S.GANGAI VASAN)
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