Sudhir Ghimire

Elk Grove CA ***** · 510-***-****, ada6pv@r.postjobfree.com

A qualified Medical Billing and Coding Specialist candidate who believes in strong interpersonal communication and collaboration, has a strong background on customer service, budget, and accounting is seeking full-time position with Internal Care Associates. Trained in ICD- 10 coding, HCOCS coding, medical terminology, data entry, data quality & management, conducting billing practices, validating patient information, diagnoses, resolving account disputes and various administrative tasks. Familiar with computerized coding and electronic health records. Dedicated to maintaining strict patient confidentiality consistent with HIPAA.

A strong believer in interpersonal communication and collaboration for achieving common organizational goals.

Strong customer support experience, with the ability to efficiently multitask between multiple customers.

Technical Skills

Claim Entry

Medisoft

Appointment Scheduling

Payment Posting

EMR/EHR

EOB/ERA

HIPAA compliance

Authorizations-Referrals

ICD-10, CPT, HCPCS Coding

HMO/PPO WC Medi-cal

CMS-1500 Claim Forms

Medical records

Insurance Verification

Collections A/R

Patient relations

Charge Slips

Microsoft office suite

Windows/macOS

Management Skill

Professional Experience

Medisoft externship, Ryon Collage, Riverside, CA July - November 2019

Received training that entailed hands-on experience on record keeping and patient interface including updating patient information and balance.

Completed externship that covered Front desk and Billing & Coding duties in healthcare settings.

Acquired knowledge regarding onboarding, patient registration, scheduling appointments.

Verified insurance and explained coverage to patient, was responsible for collecting and posting payments.

Sorted EOBs, insurance denials/ appeals while maintaining HIPAA compliance.

Retrieved and filed medical records.

Faxed reports and prepared mails.

Trained in handling high volume call setting priorities and multi-tasking between patients.

SORTATION ASSOCIATE, Amazon.com inc., Sacramento, CA J ULY 2019 – PRESENT

Working as warehouse associate to support Amazon.com order and delivery operation:

Process, package and ship orders accurately.

Inspect products for defects and damages.

Inspect and resolve any errors with incoming and outgoing shipments.

Receive, unload and place incoming inventory items appropriately.

Check, verify and fulfill customer invoices.

Contribute ideas on ways to improve or optimize warehousing procedures.

SHIFT MANAGER, Quality INN (Choice Hotel), Berkeley, CA J ULY 2014 – June 2018

Worked as a front desk manager to support day to day hotel related activities including guest check in and check out.

Responsible for preparing property budgets and ensuring purchases are within the budget.

Ensure company’s policies and security requirements are met.

Responsible for troubleshooting emergencies during day to day operation.

Produced excellent customer service scores and well-trained staff.

Prepared the weekly schedule.

Handled all customer concerns in a professional manner.

Performed inventory management of hotel supplies.

Conducted multiple property inspections each shift to ensure staff efficiency and productivity

Education & Certification

MEDICAL BILLING AND INSURANCE CODING, RYON COLLAGE

oCERTIFIED MEDICAL BILLING & CODER

oHIPPA, OSHA CERTIFIED

HIGH SCHOOL DIPLOMA, TAKSHASHILA ACADEMY, KATHMANDU

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