Medical High School

VIJANDER BALANNAGARI

Address: H. No **-**, Nehru Nagar Colony,

Seri Lingampally Hyd-500019 TELANGANA INDIA

E-mail: ac3de1@r.postjobfree.com,

Mobile: +91-984-***-****

SKYPE ID : VIJANDER.CPC

OBJECTIVE:

Experienced Claims Executive seeks a new career path where I can put my experience to use for the benefit of the company.

Sr.Medical Biller

Over 6 years of US healthcare Experience in Medical Transcription and medical billing. NORM SOFTWARE

March 2, 2015 – Aug 30, 2017

ROLES AND RESPONSIBILITIES

Examine patients’ encounter forms to verify diagnosis codes, and reconcile codes against services rendered. Oversee daily Billing Department functions, including medical coding, charge entry, claims, payment posting, and reimbursement management. Conducted coding data quality reviews of inpatient records to validate ICD-10-CM and CPT-4 codes. Ensured compliance with all coding mandates and regulations. Follow and maintain currency on coding, sequencing, and procedures best practices and updates. Good understanding of documentation techniques, guidelines and regulations. Review dates of service, services provided, location, patient identification, and provider signature.

SPARC Cybertech PVT LTD

Nov 24 2014 – Feb 27, 2015 (Sr. process associate) ROLES AND RESPONSIBILITIES

Reviewed and ensured completed insurance claim forms and related documents. Reported missing information and attached information to claim file. Reviewed insurance policy to determine coverage.

Handled inquiries and complaints regarding the processing and settlement of claims. RISE CORP Pvt LTD

April 19, 2012 – Oct 31, 2014 (Claim Executive)

ROLES AND RESPONSIBILITIES

Comprehensive understanding of industry dynamics and keeping update on the same. Proficient in motivating and interacting with team members with proven ability of achieving document delivery as per clients’ requirements. Healthcare Industry with respect to interpreting, transcribing, and verifying audio files of physicians and/or other healthcare professionals.

Sound knowledge of medical terminology, anatomy and physiology, and the various medical specialties as required.

Ikya Technovations Pvt Ltd

September 2011 – March 2012 (Jr.medical Coder)

ROLES AND RESPONSIBILITIES

Worked in a fast-paced medical office with multiple physicians specializing in reconstructive surgery.

Utilized knowledge of CPT and ICD-9-CM to properly translate performed services into numerical code for insurance company reimbursements. Routinely communicated with insurance providers regarding submitted invoices. Medtek.NET

November 2010 – August 2011 (Jr.Medical Transcriptionist) ROLES AND RESPONSIBILITIES

Follow established departmental policies, procedures, and objectives. Ensure strict confidentiality of medical records.

Have met or exceeded pre-determined number of transcribed lines per shift as required well over 95% of the time.

Have helped department to meet or exceed departmental goals at least 95% of the time.Education

Education and Training

Academics

MA Sociology

Osmania university

BA Arts

Acharya Nagarjuna University

Open school of Intermediate Board

Govt. High school Rai Durga

SSC

Spring Field High School

Computer Skills (Any Skills)

MS Office/Excel 2007/2010/2013

Worked and familiar billing softwares KAREO, PRACTICE FUSION, AdvanceMD, EMED practice, Mysis Tiger.

Typing Speed 40 wpm

PERSONAL PROFILE:

Date of Birth: Oct, 12 1985

Father’s Name: Gopal Balannagari

Languages Known: English, Hindi, Telugu,

Marital Status: Single

Nationality: Indian

Passport Number: P5754051

Date of Issue: November 28, 2016

Date of Expiry: November 27, 2026

References will be provided on demand

Contact this candidate