Medical Billing Manager

KARTHI V

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

Mobile: 984**-*****

**/**, *** ******,

Ravanan Nagar,

Puzhuthivakkam.

Chennai-600 091.

Tamilnadu, India

OBJECTIVES

To obtain challenge oriented position in a growth oriented

organization that welcomes my leadership background and fosters growth,

creativity, flexibility and offers diverse job responsibilities

HIGHLIGHTS OF QUALIFICATIONS

Certified in ICD-10-CM Online Training Modules 2012 approved by AAPC

& AHIMA.

Knowlege of various activities in Medical billing

Adaptive to Management styles, business models and information

systems

Eager to learn new things and good team player

Ability to perform all aspects of Medical billing

Ability to manage multiple clients

Planning, organizing and decision making

Critical thinking and problem solving skills

PROFESSIONAL SUMMARY

> Having 6.9 years of experience in Medical billing

> Currently working as Senior Team leader in Allzone Management

Solutions Private limited from June 2007

ROLES AND RESPONSIBILITIES:

> Mentoring and guiding team on various billing activities.

> Building the team as per project requirements.

> Work allocation for entry and audit processes.

> Monitoring files download & upload process

> Monitoring the team performance and decision making.

> Evaluating the audit reports and generating reports to identify the

general defects in Process and initiating training process to

overcome them.

> Monitoring the defects of the process and highlighting the same to

the client to initiate change within the process flow, if

required.

> Ensure all client reports are accurate and sent as per the defined

timelines

> Handling the documents for provider manuals

> Handling the internal and external reports

> Creating training manuals with respect to the providers and

projects

> Analyzing the team performance and providing feedbacks to the

manager.

> Co-ordinate with Client on daily basis.

> Escalating the issues to client and resolve.

> Responsible to achieve SLA & TAT

SKILLS:

Skills in medical billing division

> Knowledge of working in different specialties

General practice,

Internal medicine,

Cardiology,

Nephrology,

Obstetrics & Gynaecology

Ophthalmology

Gastroenterology

Bariatric surgery

Geriatric

> Knowledge of working with different clients and projects

> Knowledge of working in

Patient demographics,

Charge entry,

Claims transmission,

Payment posting,

Denials management

AR process.

Client coordination

Project transition and

Team handling

> Knowledge of using Encoder to check valid diagnosis, CPT's, payable

diagnosis and CCI edits

> Knowledge of using websites to check the claim status & verifying

eligibility.

> Knowledge of running the AR- reports, reviewing & analyzing the

reports & AR-Calling.

> Knowledge of reviewing the call notes and action taken.

> Knowledge of working in collection handling, refilling claims,

Correcting Diagnosis & CPT's, Printing secondary claims, rejection

claims, correspondence files, Appealing claims.

> I took part in transition process for the new projects and

transferred that knowledge to my team and worked successfully in

that new circumstance.

EDUCATIONAL QUALIFICATION

.

Sl.No Course Institution Year of Percentage

Passing of Marks

MBA Financial Madras university 2013 60.00

Administration %

B.Sc Computer Mahendra Engg College 2003 78.5

Technology %

Mallasamudram, Salem.

H.S.C Dominic Savio.Hr.Sec 2000 66.8 %

School, Chetpet.

S.S.L.C Govt.High.School, 1998 75.6 %

Chetpet.

PERSONAL INFORMATION

Name of the Father : E. Vengadathri

Date of Birth : 10.05.1983

Gender : Male.

Marital Status : Married.

Nationality : Indian.

Languages known : Tamil & English.

Permanent Address : Kayampet post,

Pattani Kollai,

Chengam-606 701

Tiruvannamalai - District

Tamilnadu

India.

DECLARATION

I declare that the above are true to best of my knowledge and belief.

Yours Faithfully,

Place: Chennai

Date:

(KARTHI.V)

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