NEETU SINGH
***** **** ****** *****, ******, TX *5035
469-***-****, ad4l7p@r.postjobfree.com
Profile Summary
Experienced professional with a strong background in claim eligibility, data entry, and validation, aiming to leverage these skills in a role that combines data analysis with medical billing in the healthcare sector. Skilled in ensuring accurate healthcare data management and billing processes, I am dedicated to enhancing operational efficiency and supporting effective decision-making. My goal is to contribute to improved patient care and financial optimization through meticulous data scrutiny and validation. Experience
RelivTek Inc., Data Analyst, July 2023 till date
I work as a data analyst for a Big 4 as a client. Key responsibilities include:
• Working on platforms like Aspen, Sales Force to review Medicare applications.
• Review applications based on income requirements, accuracy and completeness.
• Review Medicare applicability based on key state and federal requirements.
• Validate application details including SSN verification, residency, family status, household, income status while performing review of the application.
• Run eligibility based on the verified requirements and certify requirements to be setup for approval process.
• Provide weekly reports to management on applications processes and their status.
• Attend daily standup meetings with project team to review backlog and open application requirements.
GUIDEIT, Medical record abstractor, Mar 2021-May 2023 I work as a medical record abstractor. Key responsibilities include:
• Working on healthcare systems like Epic, Cerner, Nextgen, Citrix, Athena & Greenway
• Abstracting the documentation of patient records, identifying problems, allergies, medications, immunizations, past medical records, histories, surgeries, family histories and many more data elements.
• Data validation for accuracy and completeness is then performed from one system to another and identified anomalies are corrected.
• Working in another project for dental abstraction where I go through all the dental procedures and code done by the doctors including fillings, composite filling, amalgam fillings, caries, Xray, extractions, missing tooth and planned procedures.
• Transferring all the correct records from one Epic instance to another
• Maintain and review client and project documentation leveraging SharePoint, MS office and Adobe documents.
EquinoxPPS, AR Specialist, Mar 2021-May 2022 (Part Time) Worked part time with a medical service provider supporting hospitals to verify eligibility and benefits of a patient so that patients don't have to pay more after their visit to doctor, medical or mental services. Key responsibilities include:
• Get the correct modifier and CPT codes so that insurance doesn't deny the claims.
• Gather information on Medicare and Medicaid eligibility for the patient including Policy, deductible, Copay, Coinsurance, effective dates and terminating date, balance left for the year
• Communicate out of pocket maximum and accumulation to the patient
• Follow Up with insurance companies for clearing the claims.
• Handle all insurance bills through multiple insurance companies like United health, Aetna, Liberty mutual and many more insurances and supplemental plans
• Create weekly summary reports on claims and share it with the medical provider for account receivables
QuadraMed Inc., Medical Record Validator, Dec 2019- Feb 2020 Worked as a medical record validator to identify, correct & prevent patient identification errors. Key responsibilities include:
• Analyze patient records to identify and correct data de-duplication
• Highlight data errors and correct on Smart ID and Smart Access Platforms
• Share data and reports for management analysis
• Perform QA review for additional data sets as required
• Work item tracking and analysis for timely completion of tasks and deliverables
• Maintain document cadence for the project leveraging documentation tools including SharePoint & teams.
Tekleaders Inc., IT Recruiter, Aug 2018-till Nov 2019 Worked as a recruiter to support few IT companies on fulfilling open requisitions for their organizations and projects. Key responsibilities include:
• Execute overall recruiting strategy based on demands and open requisitions
• Develop and update job descriptions and job specifications
• Source and recruit candidates by using job search portals, social media etc.
• Screen candidates resumes and job applications
• Coordinate with client HR teams to scheduling candidates interviews and discussion
• Perform job and task analysis to document job requirements and objectives
• Prepare recruitment materials and post jobs to appropriate job board/newspapers/colleges etc. BSNL, Data Entry Operator, 2002-2005
Worked as a data entry operator for the largest telecom company in India to support their digitization project. Key responsibilities include:
• Digitalize the paper copy transactions into an electronic record filing system
• Call end users for data validation as required
• Provide customer service to end users as necessary
• Use to perform more than 250 electronic upload transactions per day Education
• Bachelor in Arts, St, Xavier’s College, 2001
• DCA Computer Science, ATS Infotech, 2001
• UDemy Online Course in Medical Terminology, 2019
• Medical Billing Certification, Collin college, 2020 Computer & Application skills:
Document proficiency leveraging MS Office, EPIC, Cerner, Athena, MS Excel, Outlook, Teams & SharePoint Achievements:
• Awarded employee of the month twice in Guide IT
• Obtained scholarship of “10000 INR” from BSNL Group of Industries in “2002”
• Ranked “A+” in S.S.C. merit list
• Won best team member award for 3 consecutive quarters in 2003 in BSNL Extracurricular activities:
• Lead the college fest – “RATRA”
• Member of the organizing committee of “JAGRUK”
• Volunteer in North Texas Food Bank