Prathima Batchu
Vista, CA *****
***********@*****.***
With over 20 years of experience in medical billing and insurance coding and an additional 20 years as a medical office manager, I bring a wealth of knowledge and expertise. I am also current on my HIPAA and CPR training and certifications, ensuring that I am up-to-date on the latest developments in the field. I completed my most recent training program in March 2024, which included a hands-on externship at Dr. Afsaneh Zokaei, D.D.S.’s dental practice, where I completed 250 working hours and assisted with billing as a front office assistant.
As a dedicated professional, I am open to relocating to any location that offers career growth and development opportunities. My adaptability and willingness to embrace change make me a valuable asset in any setting.
Authorized to work in the US for any employer
Work Experience
Administrative Assistant
Reed Plumbing & Mechanical and Construction, L.L.C. - Vista, CA
November 2023 to Present
Involved in various aspects of the business, from client interaction to project management; responsibilities have included generating design ideas, managing client appointments, and ensuring contract compliance. I have consistently delivered high-quality work and maintained strong relationships with clients and colleagues.
Medical Billing Specialist/Consultant (Remote)
Midwest Neurology Consultants, LLC - Columbia, MO
April 2021 to Present
Medical billing and accounts receivable and continuous work on Accounts receivable, when needed (remotely- part-time)
Office Assistant/Receptionist (Remote)
Master Alliance Tax Service - Chadds Ford, PA
September 2021 to January 2024
Answer phones and schedule appointments, enter clients’ information into the computer and scan it into the paperless system, accounts payable and receivable, prepare easy tax returns, reconcile clients’ checking accounts (business and personal), and perform other general office tasks.
Chiropractic Assistant/Receptionist/Biller
DeGroot Chiropractic - Wilmington, DE
August 2020 to July 2021
Worked on the current Medical billing/coding at the time, worked through the outstanding/unpaid claims previous billers didn't collect from first through third-party payors, scheduled patients upcoming consults and follow-up appointments, and referred them out to other healthcare providers, answered phones, and dealt with attorney offices regarding claims that were accidents, and spoke with insurance companies regarding accidental claims and Workers' Compensation Insurance Claims.
Office Manager & Medical Billing Specialist (Remote)
Sudhir Batchu MD LLC - Columbia, MO
January 2020 to April 2021
Medical billing/coding, communicated with office assistant who was on-site by phone/email, scheduled patients, planned doctor’s travel, talked to patients if they had any issues, scheduled patients’ appointments with other physicians’ offices for referrals, and called insurance companies when pre-certifications needed for MRIs and medications, and ran the office financial reports and re-billed everything that hadn’t been re-billed or that needed to be billed for over 60 days out until it had gotten paid.
Office Manager/Bookkeeper
Sudhir Batchu MD LLC - Columbia, MO
May 2006 to January 2020
Medical billing/coding, accounts payable/receivable, communicated with office assistant who was on site and available by phone/email, referred patients to other physicians’ offices or to other facilities for additional medical care, planned doctor’s travel by booking hotel arrangements when he had meetings out of town, and calmly spoke with his patients if they had any issues and took care of it for them, to get it all worked out; I also scheduled patients’ appointments for physicians’ referrals, I called insurance companies when pre-authorizations, certifications (or retro authorizations) needed for MRI/MRA, lab, and any other Neurodiagnostic testing and medications, to be done.
Billing Representative in Central Business Office
Jefferson City Medical Group - Jefferson City, MO
August 2017 to October 2018
Used Epic EMR software to manage patient records and files; I reinforced and upheld patient confidentiality, collected patient balances, and worked on the facility’s AR
Education:
Bachelor’s of Arts in Business and Emphasis on Health Administration
American InterContinental University
April 2024 to Present
Certificate/Education Diploma in Medical Billing & Insurance Coding
UEI College - Garden Grove, CA
April 2023 to March 2024
(Still awaiting exam date through AAPC for Certified Professional Coders title- THROUGH STATE)
Bachelor’s of Arts in Business & Health Informatics
Saint Louis University - St. Louis, MO
August 2012 to May 2014
High School Diploma – General Education Degree
Rock Bridge Sr. High School - Columbia, MO
August 2000 to June 2004
Skills:
• Medical billing and insurance coding (20+ years)
• Medical office scheduling experience (20+ years)
• Insurance eligibility and verification (2-+ years)
• EMR/EHR Systems (8 years)
• Tax Preparer Experience (simple returns) (4 years)
• Medical Records/Medical Imaging handling experience (20+ years)
• Patient care/scheduling coordinator (20+ years)
• ICD-9,10,11/CPT/HCPCS Coding (10+ years)
• QuickBooks (10+ years)
• Anatomy/Physiology terminology (10+ years)
• IP hospital billing (10+ years)
• Medical back office daily duties experience (10+ years)
• HIPAA compliance and certification- yearly (6 years)
• Data Entry experience (10+ years)
• Medical front desk/receptionist daily duties experience (10+ years)
• Customer Service and phone etiquette experience (10+ years)
• Quality Assurance (7 years)
• Cerner experience (5 years)
• Account reconciliation (10+ years)
• Microsoft Office/Microsoft Professional Programs (10+ years)
• Epic EMR/EHR systems (7 years)
• Auditing experience (10+ years)
• Laboratory Billing (10+ years)
• Medical office management (10+ years)
• Medical Coding (10+ years)
• Insurance Verification (10+ years)
• Medical Terminology (10+ years)
• Accounts Payable (10+ years)
• Accounts receivable (10+ years)
• Bank Reconciliation (10+ years)
• General Ledger Reconciliation (10+ years)
• Prior-Approval/Prior-Authorizations (10+ years)
• Financial Report Writing (10+ years)
• Credentialing for Medical Physicians newly hired (10+ years)
• Healthcare Documentation Specialist (Med. Scribe) (10+ years)
• Financial Analysis (10+ years)
• Bookkeeping (20+ years)
• Payroll (20+ years)
• Accounts payable (15+ years)
• Accounting (15+ years)
• Balance sheet reconciliation (20+ years)
• Human resources (15+ years)
• Tax experience (4+ years)
• Financial management (10+ years)
• Cash management (20+ years
• Records management (20+ years)
• Microsoft Access (20+ years)
• Office management (15+ years)
• DocuSign (5+ years)
• Workers' compensation law
• Customer service (20+ years)
• Clerical experience (23+ years)
• Conflict management
• Supervising experience (20+ years)
• Negotiation (10+ years)
• Hospitality (2+ years)- When I got my Travel Certification I started taking courses for Hospitality Mgmt.
• Information management (20+ years)
• Customer relationship management (20+ years)
• Budgeting (22+ years)
• Front desk (22+ years)
• Account management (8+ years)
• Purchasing (22+ years)
• Medical coding (22+ years)
• Contract negotiation (3 years)
• Layout design (10+ years)
• EDI (22+ years)
• HIPAA (22+ years)
• Personal assistant experience (15+ years)-
Was a personal assistant for the mother of household and “au pair”/nanny to the children and personal assistant to the mother of the household in my early to late 20s for several families
• Medical records (22+ years)
• Leadership (22+ years)
• Documentation review (22+ years)
• Microsoft Excel (10+ years)
• Healthcare management (15+ years)
• Epic (5 years)
• Writing skills (23+ years)
• Microsoft Outlook (10+ years)
• Case management (18+ years)
• Communication skills (20+ years)
• Revenue cycle management (22+ years)
• EMR systems (7+ years)
• ICD-10 (10+ years)
• Analysis skills (18+ years)
• Research (15+ years)
• ICD coding (20+ years)
• Physiology knowledge (19+ years)
• Fraud prevention and detection (22+ years)
• Google Suite (5+ years)
• Windows (24+ years)
• Banking (18+ years)
• General ledger accounting (22+ years)
• Medical office experience (22+ years)
• Medical billing (22+ years)
• Neurology (22+ years)
• Referral coordinator (22+ years)
• Microsoft Office (24+ years)
• Sales (20+ years)
• Medical administrative support (23+ years)
• Personal assistant experience (15+ years)-
(Was a “personal assistant” for the mother of household and “au pair”/nanny to the children and personal assistant to the mother of the household from in my late teen years to my early to mid- and late 20s for several families, while working and studying, also watched the children of the families throughout my teenage years)
Certifications and Licenses
Medical Billing Certification
April 2023-March 2024
Medical Billing and Insurance Coding Education Certificate, awaiting Exam Date through AAPC (hopefully in the next month and a half)
Real Estate License
April 2023-Present
Studying to get real estate license and awaiting exam date, it will be after October 2024, through KW Prep or Duane Gomer Real Estate School
Certified Travel Agent
December 2022- Present
Archer Agency through Evolution Travel
IMEI#
25797
Training:
HIPAA Training and Certification
Winter of 2023
Certification#
Expiration:
First Aid and CPR Training and Certification
Winter of 2023
Certification#
Expiration:
Assessments
Administrative support professional fit — Proficient
December 2022
Measures the traits that are important for successful administrative support professionals.
Full results: Proficient
Administrative assistant/receptionist — Proficient
August 2022
Using basic scheduling and organizational skills in an office setting
Full results: Proficient
Protecting patient privacy — Proficient
September 2023
Understanding privacy rules and regulations associated with patient records.
Full results: Proficient
Customer focus & orientation — Proficient
September 2022
Responding to customer situations with sensitivity
Full results: Proficient
Medical billing — Proficient
December 2022
Understanding the procedures and forms used for medical billing
Full results: Proficient
Work style: Reliability — Proficient
March 2023
Tendency to be reliable, dependable, and act with integrity at work
Full results: Proficient
Basic computer skills — Proficient
September 2022
Performing basic computer operations and troubleshooting common problems.
Full results: Proficient
Protecting patient privacy — Proficient
August 2022
Understanding privacy rules and regulations associated with patient records
Full results: Proficient
Attention to detail — Proficient
December 2022
Identifying differences in materials, following instructions, and detecting details among distracting information
Full results: Proficient
Scheduling — Proficient
October 2023
Cross-referencing agendas and itineraries to avoid scheduling conflicts
Full results: Proficient
Medical terminology — Proficient
January 2023
Understanding and using medical terminology
Full results: Proficient
Medical receptionist skills — Proficient
August 2022
Managing physician schedules and maintaining accurate patient records
Full results: Proficient
Protecting patient privacy — Proficient
April 2023
Understanding privacy rules and regulations associated with patient records
Full results: Proficient
*REFERENCES UPON REQUEST