RICHA SHARMA
**** ****** **, ******, ** ***** H: 614-***-**** acxs27@r.postjobfree.com
Professional Summary
Bilingual, detail oriented, quality focused professional, successful track record handling complicated
assignments, highly experienced in reconciling insurance and patient payments and resolving account
disputes, proficient in a variety of practice management software application, dedicated to
maintaining strict patient confidentially seeking a position in billing, administrative, social work that
will benefit from my experience and contribute to my professional growth.
Skill Highlights
ICD-9 and 10, CPT 4, Hcpcs billing Strategic planner, patient- centered care
Medicaid/ Medicare and commercial Women's issues, Violence prevention.
insurance billing Various practice management software
Excellent Interpersonal and phone skills. efficient medical documentation auditing
Online claim submission, Follow up and for code appropriateness and guideline.
correct rejected claim. Records organization management
patient/ Customer relations, Maintains insurance and patient aging.
strict confidentiality. Problem solving, Research and analysis.
Knowledge of HMOs and managed care Administrative software MS word, power
plans point, Epic, Imagine, Capi, E-Clinical works
HIPAA Compliance healthcare billing
proficiency
Professional Experience
Radiology Billing and Follow up Jul 2016 to Current
MBX, LLC Columbus, OH
Research and analyze patients accounts, Correct the rejected accounts and follow up with
insurance companies on unpaid charges.
Handle incoming patients call on regular basis.
Prepare invoices and summery spreadsheets, review and process refunds, transfers, void and
adjustments to patient accounts.
Reconcile and enter complex receipts/adjustments into accounting system including collections
and write offs.
Verify patient insurance eligibility and respond to inquiries regarding patient accounts, Contact
patients and insurance companies regarding past due accounts including tracking co-pays and
deductibles.
Review computer generated insurance claim forms for accuracy generate claim for information
received after the date of service.
Respond to inappropriate payment/ denial by working EOBs process and insurance
correspondence.
Patient Finance service specialist Jun 2007 to Feb 2016
The Ohio State Wexner Medical center Columbus, OH
Billed claim online and hard copy using Capi and Epic software, claim follow up, corrected when
rejected, followed up with posting dept. to post the payment.
Experienced biller for family medicines, Medicaid, Medicare and major commercial insurances.
Coded provided service using ICD-9 and 10, CPT -4, HCPC billing
Set up new patient’s accounts, Maintained the accuracy of Insurance claims, verified correct
ICD-9 and 10 codes with medical records dept.
Monthly processing of patient statement, Answer and resolve patient billing inquiry, followed
up on aging accounts, Re- submit insurance claims if necessary, appealed on denied claims,
Knowledgeable in timely filing and appeal process.
Improved revenue for most recent provided over 32% with same patient load.
Insured office practice is following HIPPA regulations.
Revenue resource / Billing specialist/ Office Administration Jul 2005 to Jun 2007
NCO Financial Company Columbus, OH
Engaged in timely Medicaid and Commercial insurance billing with absolute accuracy.
Implemented follow up system expediting recovery of 30 days outstanding payment from non
responsive insurance carriers.
Responsible to post payment to meet month end deadline and responsible for Bonus Checks to
the office staff.
Managed clerical and administrative staff, organized and coordinated office meetings.
Financial Counselor/ Patient account analyst Mar 2004 to Apr 2005
Mount Carmel Hospitals Columbus, OH
Billed Medicare Claims and Follow up.
Maintained log of special Bills, prepaid vouchers, Customer queries and compliance.
Public relations officer Apr 1995 to Jul 1999
Edelman Advertising Agency New Delhi, India
Planned publicity strategies and Campaigns
Organizing promotional events such as press conferences, open days, exhibitions, tours and
visits.
Providing clients with information about new promotional opportunities and current PR
campaign progress.
Liaising with clients, managerial and journalistic staff about budget, timescales and objectives.
Commissioning or undertaking relevant market research.
Designing writing and/ Or producing presentations, press releases, articles, leaflets, "in-house"
journals, reports, publicity brochures, information for web sites and promotional videos.
Education and Training
Master of Arts, Master of Social work
The Ohio State University Columbus, OH, USA
Bachelor of Law
Benares Hindu University Varanasi, UP, India
Bachelor of Arts
Benares Hindu University Varanasi, UP, India