Medical Billing

Communicator Innovator

Thinker

Key Skills Profile Summary

Health Operations Management

Medical Billing and Coding

Data Analysis

Collection and Recovery

Documentation

Audits

Process Improvements

AAPC –CPC Certified Professional offering over 7 years of experience in appropriately using billing, ICD-10, CPT and HCPCS coding principles to code with highest accuracy and complying with CMS regulations and company goals & policies

Analyzed and validated patient information, diagnosis and billing data Proficient with DHPO, Mediware, Insta HMS,Medi-soft, Kareo, Medix Premier, Health Nautica, Procom Plus, Care Tracker and E-clinic. Skilled in transmitting claims to insurance and taking actions for rejected claims, resubmitting those claims, getting receiving payment from insurance and posted the same in account

Excellence in ensuring that diagnostic and procedure information is accurate & entered or interfaced into the hospital billing system on a timely basis

Provided administrative support to physicians & interpret medical reports & data Expertise in conducting audits of accounts to determine if coding is accurate, ensuring that documentation supports coding and that the charges are captured

An enterprising leader with excellent communication analytical and problem- solving skill.

Career Timeline

Break-Through

Technology Pvt. Ltd.,

Process Executive

Ecare India Pvt.

Ltd., Analyst

Intelenet Global

Services, Medical

Coder

2006-2007 2007-2010 2011-2014 2014-2016 2016-2018

India Healthcare

Solutions Pvt. Ltd.,

Senior Process

Executive

Soft Skills Education

MBW-Acrologic

Business Solution

Pvt. Ltd., Senior

Analyst

Collaborator Intuitive

B.A. (Economics) from All Saint’s Collage Trivandrum, Kerala. Additional Qualifications:

Post Graduate Diploma in Computer Applications Universal institution, Trivandrum, Kerala.

Advanced Medical Coding Course from Syspro Chennai

(Anatomy, Physiology,Medical terminology and pathology ) Computer word processing Lower and higher grade.

SINDHU ANAND

Insurance coordinator/ Resubmission/Payment f/up and Coding Specialist

Industry Preference: Healthcare

Location Preference: UAE

Abdullah Ibrahim, Al housing building, flat#305, Al Qulayaa. Sharjah. ***************@*****.***

Work Experience

July’18 – Still working : Venniyil Medical center Sharjah.(Insurance Approvals, Procedure and diagnosis coding, Submission,& Resubmissions, Rejections & Payment follow up) Beryl Healthcare Division(Al aman Medical Center-Dubai,Bluebell medical center-Dubai, Mideast polyclinic- Dubai, Emerates medical center-Fujairah) . UAE as Medical Insurance coordinator.

Aug’16 – June’18: Intelenet Global Services, Chennai as Medical Coder(UAE projects) Mar’14 – Aug’16: MBW-Acrologic Business Solution Pvt. Ltd., Chennai as Senior Analyst (Reconciliation & payment followup) Dec’11 – Mar’14: Ecare India Pvt. Ltd., Chennai as Analyst(Reconciliation & payment follow up)

Aug’07 – May’10: India Healthcare Solutions Pvt. Ltd., Chennai as Senior Process Executive (Insurance Submission, Resubmission & Rejections) May’06 – Jul’07: Break-Through Technology Pvt. Ltd., Chennai as Process Executive(Appointment taken, Patient Registration & Insurance billing) Key Result Areas:

Rendered administrative support to Physicians & interpreted medical reports & data to assignICD-10 codes enter diagnosis codes and patient information into billing software

Prepared patient accounts and verified the insurance details, taking approvals from insurance company, reviewed medical records and coding the appropriate procedures and diagnosis codes.

Submitting the claims through Eclaim, Manual and Paper claim to the insurance companies on time. Making report on that on every month Working on Remittance

(Resubmission, Rejections, Additional documents request). Followed-up on past due invoices and delinquent accounts to minimize number of unpaid and outstanding balances

Updated & managed diagnosis lists, coordinated routing documentation and coding audits, and executive qualitative analysis of discharged charges Gathered, posted & managed patient account payments and prepared and submitted claims forms to insurance companies and other third-party payers. Managed insurance verification, pre-certification and pre-authorization. Entered procedure and diagnosis codes and requisite patient information into billing software to restructure invoicing and account management verified diagnosis and code narrative diagnosis Accomplishments:

Worked in UAE Healthcare process.

Worked in Third Party Billing TPA US Healthcare Process Certification Healthcare Certification – AAPC - CPC Certification Personal Details Date of Birth: 20:05:1982

Languages Known: English, Malayalam, Hindi & Tamil Nationality: Indian

Marital Status: Married

Passport Details: Passport No. - N7573616, Place of Issue – Chennai, Date of Issue

– 3rd March 2016, Date of Expiry: 2nd March 2026

Visa status: Employment visa.

Contact this candidate