Medical Insurance

Promila Rani

***** ***** **** **

Houston, Tx ***84

Cell 832-***-****

Email: ***********@*****.***

OBJECTIVE

To obtain challenging position in a growth-oriented organization that offers diverse experiences in

a healthcare.

Sept 2012-Present

Great Kids Pediatrics: MHMC

Account Receivable Responsibilities:

POSTING OF ALL CASH RECEIPTS, MONTHLY PROGRESS BILLING, SUBMIT TO ALL PAYORS,

CONTRACTRUAL RETAINAGE LETTERS, A/R DATA ENTRY OF INVOICES AND MONTLY STATEMENTS

•Post Payment

•Monthly Aging Report 90 & 120 days

•Follow up with denial claim

Biller/Account Receivable/Collection

Private Physician’s Office

• Billing responsibilities:

•Office

•Hospital

•Nursing Home

•Home Health

•Wound Care

Account Receivable Responsibilities:

•Collections: follow up on with all Insurances

•Posting payment for all Commercial Insurances

•Posting Payment for Medicare and Medicaid

McKesson Corp., Houston Tx

Mar 2010- Mar 2012

A/R Specialist

•Follow-Up of outstanding A/R for all payers and /or including self pay and/or including

resolution of denials.

•Responsible for handling all correspondence related to insurance or patient accounts,

contacting insurance carriers, patients and other facilities as needed to get maximum

payment on accounts and identify issues or changes to achieve client profitability.

•Responsible for working EDI transactions and ERA files, including reconciling carrier

submissions, edits and rejection reports.

Nov 2007-Dec 2009

NeuroMed Clinic LLC, Warrenville, IL (relocated)

Account Receivable/Collections

• Neurology A/R Experience, coding and billing practices

• Responsible for processing all electronic and non-electronic claims

• Personal payments and posting them accurately and timely.

• Fast Remittance Advice; Payer Path "All Scripts"

• Have ability to identify issues resulting in non-payment of claims

• Resolve minor issues on my own and elevate significant issues to my department supervisor for

further management intervention

• Facility's insurance contracts and obligations as to how to apply payments of each claim &

analyze overpayments

Apr 2005-Oct 20, 2006

Care Mark Rx, Inc., Lincolnshire, IL (relocated)

Pricing Coordinator

•Pricing updates within a system and Contract pricing structures.

•Responsible for covering Payment Discrepancy queue's (diversion queue's)

•Responsible for ensuring that payment received is accurate, in accordance with Contractual

agreements.

•Responsible for any additional paperwork that is a result of a review of an queue

•Knowledge of customer account updates

•Have knowledge to interacted with both internal and external customers

Sept 2002-Jan 2005

Galilee Medical Center, S.C., Chicago, IL (outsourced)

Administration Assistant

•Knowledge of Physicians Credentialing; In charge of Credentialing for over 15 Medical Physician

and two of the MRI Imaging Centers

•Responsible updating facility contracts

•Responsible for renegotiating prices for group contracts.

•Analyze A/R for General Practitioner

Posting Payments / Follow-up

•Posting Personal Payments

•Posting Medicaid, Medicare, and Commercial Insurances

•Medical Bill

Education

•Pursuing B.A. at AIU online

•Harry Truman College, Chicago, IL

Contact this candidate