Medical Billing Executive
Resume:
Dear Hiring Manager,
As a highly organized, proactive, and efficient professional with support experience and excellent time management skills, I am prepared to significantly contribute to any company’s goals and objectives. I have vast experience and knowledge within the Healthcare Industry. Now, I am ready to take on a new and challenging role where previous experiences and extensive training can be used and be further enhanced
With more than seven years’ experience as a Senior Process Executive, I am adept in the observation, evaluation, researching customer issues and resolve their complaints empathetically and professionally. Moreover, while my on-the-job experience has afforded me a well-rounded skill set, including first-rate decision-making and multi-tasking abilities.
The highlight of my expertise includes the following:
Performed credentials by gathering and verifying all customer service requirements and charges for tracking on the component under varies practices.
Excel within a service-oriented company, performing a talent for communicating effectively with the customers from diverse background.
Accomplish customer services and organization mission by completing related result as needed, in the absence of Senior Managements.
Perform cost allocation against EOB and super bill and provide monthly report to the management.
Execute auditing charges to determine compliance of defined process.
I know that my proven leadership skills, a strong commitment to high ethical and professional standards in devising proactive responses to changing socioeconomic conditions would allow me to make a significant contribution to a challenging role in the domains mentioned above commensurate with my knowledge till date.
Thank you for your consideration; I look forward to speaking with you soon.
Sincerely,
Meera.N
adc6t1@r.postjobfree.com
MEERA.N
No: 1772, MCECHS Layout, Dr SRK colony- 560064
: 91-889*******, : adc6t1@r.postjobfree.com
: in.linkedin.com/pub/Meera Nagarajan/58/37/534/
Objective:
To ensure challenging position in a growing organization where I would be able to utilize my capabilities to the best extend and in the process add value to the organization and my career.
Personal skills:
Comprehensive problem-solving abilities, excellent verbal and written communication skills, ability to deal with people diplomatically, ability to learn new things quickly and not cracking under pressure.
Summary:
Total 5 years of experience in US Health Care. In that total years’ experience of Working with Payment Posting, Refunds, Claims Denial Management, initial billing & coding
Professional Experience:
Name of the Company : REQS Technologies Pvt Ltd.
Designation : Quality Control Analyst – Payment posting
Period : Aug 2019 – May - 2020.
Receiving files from a client in the form of PDF and Excel (EOB's)
Allocating all files to payment posters to get work done
Floor support (guidance at payment posting and clearing all other doubts related to medical billing)
Auditing all posting by users and confirming the postings
Generating report for each practice with the in-detail cheque and file name page no's cheque amount along with payer name
Sending all generated reports to respective in-house handling person
Maintaining quality report
Generating monthly report date wise CPT's posted, along with practice name
Name of the Company : Thinfounders India Pvt Ltd.
Designation : Sr. Process Executive
Period : Apr 2019 – Aug - 2019.
Downloading face sheet from appropriate websites for various practices.
Verifying patient’s eligibility for DOS for various practices.
Creating appointments for appropriate DOS for various practices.
Entering Patient’s Demo and Charges for various practices.
Posting payments under various practices based on downloads.
Handling the team in absence of team lead.
Auditing charge entry details against super bill.
Name of the Company : Mediscribe India Pvt Ltd.
Designation : Sr. Process Executive
Period : Aug 2018 – Jan 2019.
Downloading face sheet from appropriate websites for various practices.
Verifying patient’s eligibility for DOS for various practices.
Creating appointments for appropriate DOS for various practices.
Entering Patient’s Demo and Charges for various practices.
Posting payments under various practices based on downloads.
Generating the internal reports.
Handling the team in absence of team lead.
Auditing charge entry details against super bill.
Clarifying the doubts with the client in the form of E-mail
Handling Production part and internal reports in absence of team lead
Name of the Company : Trupp Global Technologies Pvt Ltd.
Designation : Sr.Process Executive
Period : March 2018 – Aug 2018.
Processing & Reviewing claims for payment and denial
Keep checking policies and updates for claim processing
And updating the same to the team members
Entering Patient’s Demo and Charges under varies practices.
Generating the internal reports.
Handling the team in absence of team lead.
Posting the payments against paid EOB.
Auditing charge entry details against super bill.
Clarifying the doubts with the client in the form of E-mail
Handling Production part and internal reports in absence of team lead
Name of the Company : Omega HealthCare Management Service Pvt Ltd. Designation : Sr.Process Executive
Period : September 2014 – September 2017
Profile:
Assigning the work to the people in the team and guiding them
Processing & Reviewing claims for payment and denial
Ensuring the Team Quality to be in control to meet SLA
Clarifying the doubts with the client in the form of E-mail
Analyzing the reports and giving feedbacks to individual associates
Generating the internal reports.
Handling the team in absence of team lead
Handling Refunds client’s escalations
Name of the Company : Global Revenue Cycle Partner (US Health care)
Designation : Process Executive
Period : Sep 2013 – August 2014
Profile:
Ensure claims are entered and submitted with 48 hours of receipt
Analyzing the reports and giving feedbacks to individual associates
Generating the internal reports.
Handling the team in absence of team lead
Name of the Company : Mahendra Next Wealth
Designation : Jr. Process Executive
Period : Feb 2011 – Jan 2012
Billing S/W tools I knew:
Centricity
AS-400
Jaguar
MediTouch
eCW
Office Ally
Theraphy Appointments
Healthfusion
Sequelmed
Practicefusion
Medsoft (Learning)
Profile:
Entering the demo based on face sheet.
Document actions taken in claims billing summary notes.
Academic Qualification:
Course/ Qualification
Institution Name
University/board of education
Year of passing
Percentage
Diploma in Computer Engineering
Sri Vengateswara PolyTechnic College. Vennandur, Tamilnadu.
Directorate Of Technical Education. Tamil Nadu, India.
April
2010
93.0
HSC
G.G.H.S.School,Vennandur,
Tamil Nadu.
State Board
April
2008
65.0
SSLC
G.G.H.S.School, Vennandur,
Tamil Nadu.
State Board
April
2006
75
Personal information:
Father’s Name : N. MEERA
Date of Birth : 11.08.1991
Marital Status : Married
Gender : Female
Nationality : Indian
DECLARATION:
I here by declare that the above mentioned information is correct up to my
Knowledge and I bear the responsibility for the above mentioned particulars.
Place: Signature
Date:
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