Medical Billing Insurance
Resume:
KAILASH PATOLIA
Ave Apt **** Glendale, AZ 85308
Phone: 623-***-**** E-Mail: **************@*******.*** OBJECTIVE
Seeking for a position in a Med-Spa environment as a certified laser technician. SUMMARY
● Strong customer service skills, with ability to diffuse difficult situations.
● Excellent client care, guest service and attention to detail.
● Thorough knowledge of reservation systems and transactions processing.
● Use of client chart for information, such as client’s preference, skin types and past treatment.
● Proficient in general office duties, including Microsoft Words, PowerPoint, Excel, Internet and communicating sensitive information with tact.
● 15 years of experience in home base organic facials, nail art, waxing, and bridal makeup artist. EDUCATION
National Laser Institute, Scottsdale, AZ 07/2018
● Certified Laser Safety Officer and Certified Laser Technician in Laser Hair Removal, IPL Skin Rejuvenation, Fractional Laser Wrinkles and Acne Scar Reduction, PRP/Microneedling, eMatrix and Radio Frequency Skin Tightening modalities.
● Relevant Coursework: Laser Physics and Tissue Interactions, Laser Safety and Regulations, Client Care, Clinical Laser Applications: Didactic Course, Laser Hair, Intense Pulse Light Photofacial, Laser Veins, Laser Tattoo Removal, Fractional Laser Wrinkles Reduction, Radiofrequency Skin Tightening, Laser Cellulite Reduction, Laser Acne Reduction, and Advanced Medical Aesthetics Training.
U.S. Career Institute, Fort Collins, CO 07/2014
● Certificate for Medical Claims and Billing Specialist
● Certificate for Medical Coding Specialist
Fullerton College, Fullerton, CA 06/2005
● General Education Curriculum
MEDICAL BILLING - A/R BACKGROUND:
Scottsdale Physicians Group, Scottsdale, AZ 11/2017-5/2018 Medical billing Specialist
● Resolved billing issues identified by insurance carriers and patients.
● Reviewed claim denials and payer requirements for corrective action and prevention in the future.
● Researched and replied in a timely manner to insurance, patient, and internal customer inquiries.
● Kept accurate records of all activity and conversations for each file.
● Researched and resolved denials and EOB rejections within standard billing cycle timeframe.
● Received physicians charges via a super bill and submitted electronically to insurance carriers
● Responsible for all follow up on insurance claims to Medicare, Medicaid and commercial insurance.
● Answered all patient telephone inquiries regarding their bills and insurance questions
● Provided physicians with monthly reports of their receivables Advanced Podiatric Specialty, Glendale AZ 3/2016-12/2017 Billing Manager
● Collection/Billing specialist
● Handles all escalated customer services issues regarding pass collection action
● Assessed delinquent accounts for possible collections actions; Performed audit of accounts
● Provided exceptional customer services to all clients
● Demonstrated ability to maintain composure and work effectively in a fast environment while preserving strict confidentiality
● Communicated with associated branches to resolve incorrect invoices; Researched and corrected erroneous payment postings
● Initiated and scheduled branch review meetings to identify problem accounts
● Reconciled problem accounts to ensure billing accuracy
● Utilized internal financial database to record activities, provide accurate account status to clients 1
KAILASH PATOLIA
17722 N 79t h
Ave Apt 2152 Glendale, AZ 85308
Phone: 623-***-**** E-Mail: **************@*******.*** Sun Radiology, Peoria AZ 2/2016-3/2017
Medical Billing Specialist
● Handles all escalated customer services issues regarding pass collection action
● Assessed delinquent accounts for possible collections actions; Performed audit of accounts
● Provided exceptional customer services to all clients
● Demonstrated ability to maintain composure and work effectively in a fast environment while preserving strict confidentiality
● Communicated with associated branches to resolve incorrect invoices; Researched and corrected erroneous payment postings
● Initiated and scheduled branch review meetings to identify problem accounts
● Reconciled problem accounts to ensure billing accuracy
● Utilized internal financial database to record activities, provide accurate account status to clients Interim Home HealthCare, Phoenix AZ (A/R Rep) 10/2015-11/2015
● Insurance, billing, & data Analyst: Work in a team of 7 analysts under the supervision of the insurance business analyst, responsibilities included study of the business billing and insurance. Called insurance companies to check status on insurance claim and discussed on EOB and options to correct the claim for resubmission. Keep a track of records of the documents, reports and presentations of insurance business. Prepare various presentations and demonstrated successfully. MOMDOC, Phoenix, AZ 3 /2009-09/2015
Medical Billing Manager
● Medical Billing/Coding, & Data analyst: Responsibilities as an insurance and billing analyst include the delivery of the projects with division and which includes the managers and business analyst. In-depth knowledge with the responsibility to ensure the methodology delivered, work’s progress and documentation. Interact with the business partners vendors, analyst and project managers. Acted as a platform between the IT and business resources. Renews the high level requirements and translate them in functional satisfaction.
CUSTOMER SERVICE BACKGROUND
Bank of America, Phoenix, AZ - F raud Analyst IIII/Call Center/Customer Service 11/2010-11/2012
● Preformed above average on call handle time of 3 minutes or less
● Analyzed customer’s bank account for fraud; Achieved band 4 as Fraud Analyst in little as 4 months Saks Fifth Avenue, Phoenix, AZ - C ustomer Service/Sales Associate 4/2009-09/2011 Dillard's, Phoenix, AZ - C ustomer Service/Sales 5/2007-10/2009 CAREER SKILLS
MEDICAL AESTHETICS:
● Through my course work at National Laser Institute (NLI), I feel thoroughly confident in my abilities as a Laser Technician. NLI not only provided me with the education background I need to pursue a career in medical aesthetics, but also the practical experience that only be gained from hands on instructions. In addition to my laser efficiency, I am able to work well both singularly and in group settings.
ANALYST:
● Experience of more than 9 years as business/data analyst in insurance field
● Great communication and demonstration skills
● In-depth knowledge of the federal, state and local laws for insurance MEDICAL CODING:
● Skilled in outpatient coding with the ICD9CM, CPT and HCPCS coding systems
● Familiarity with medical coding software
● Understanding of the ICD10CM change and how it will impact medical coders
● Strong background in anatomy, physiology and disease processes
● Knowledge of healthcare laws and ethics
MEDICAL CLAIMS AND BILLING
● Proficient in completing UB-04, CMS1450 and CMS1500 forms using the CPT & ICD9CM coding manuals to file claims to insurance companies, Medicare, Medicaid and TRICARE.
● Technology: Skilled in using MedLook medical billing software to file claims, create aging reports and track copay's.
● Problem Solving: Ready to produce accurate work and attend to client needs in order to increase customer satisfaction and ensure prompt payments form insurance companies and clients. 2
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