Medical Billing

CURRICULUM VITAE

SANGEETHA.R

E-Mail: *************@*****.***

Cell No: 978-***-****

OBJECTIVE

2+ Years of experience in Information Technology Enable Services Field. Seeking a challenging position in the field of ITES that enables me to utilize my knowledge and interpersonal skills in achieving the professional growth.\ SKILLS:

Ability to read explanation of benefits (EOB) and assigned patient liability including secondary/tertiary assignments

Ability to read accounts receivable

Knowledgeable in personal computer software and general office procedures

Knowledge of Accounts Receivable

Strong knowledge of medical terminology

Excellent verbal and written communication skills, including ability to effectively communicate with internal and external customers

Ability to work quickly

PROJECT EXPERIENCE

EXPERIENCE:

Detail-oriented Medical Billing Specialist with 2+ years of experience managing medical insurance claims. Investigates and resolves insurance company disputes and communicates with patients regarding account balances and claim statuses. EMPLOYMENT SUMMARY

ORGANIZATION : DELL INTERNATIONAL SERVICES PVT LTD Duration : 1+ Year(Apr 2013 to Dec 2014)

Client : Conifer CHI

Current designation : Payments, Claims operations associate Role : Key Player in Quality Analysis

Job Summary:

Review medical record documentation to identify services provided by physicians and mid- level providers as it pertains to claims that are being filed

Ensure accurate entry of work into designated billing systems

Performs corrections for patient registration information that includes, but is not limited to, patient demographics and insurance information

Successfully works as a team member

Identify medical coding procedure or fee errors and omissions, making necessary adjustments to patient accounts

Accurately interpret EOBs

Works collaboratively with management to create and analyze tracking reports to evaluate trends

Work claims and claim denials to ensure maximum reimbursement for services provided Quality Control Measures:

Mark errors and provide feedback to associates through TeamLeader/Manager.

Have been in quality control and played a checker role for the high dollar account .

Train the new joiners with respect to team specific process . ORGANIZATION : MEDICUS SOLUTION

Duration : 1 Year(Jan 2014 to Feb 2015)

Current designation : Payments, Claims operations associate Role : Process associate

Job summary:

Analyzing and updating the Explanation of Benefits.

Review of Explanation of Benefits –type of document given by insurance company which discuss in brief about the types of service covered and payment details of claims.

Analyse the insurance claims before they get paid to customers and to investigate insurance strictly follow the norms of HIPAA- Health Insurance Portability and Accountability Act.

Follow up on past due invoices and delinquent accounts to reduce number of unpaid and outstanding balances.

Document patient data and medical records, and perform routine medical record audits to comply with insurance company requirements.

Proficient in evaluating and processing insurance claims Responsibilities & Initatives:

Buddy training for new joiners

Floor support

Conducting refresher for associates regarding New updates.

Cross Functioning other process.

Achievements

Received On the spot awards in Dell International Services Extra Curricular Activities

Typing Writing (Lower, Higher)

Diploma inComputer Application

ACADEMIC QUALIFICATION

2018-2020 B.ed(Computer Sciece)

Jaya College of Education

Thirunindravur.

2010-2013 B.Sc. (Computer Science)( 82%)

BMC for women, Korattur,

Chennai, Tamil Nadu.

2010 HSLC( 73%)

Immaculate Heart of Mary’s Girls Higher Secondary School Avadi Chennai-54, Tamil Nadu.

2008 S.S.L.C( 86%)

Immaculate Heart of Mary’s Girls Higher Secondary School Avadi Chennai-54, Tamil Nadu.

PERSONAL DETAILS:-

Husband Name : Kannan P

DOB : 14.06.1993

Sex : Female

Nationality : Indian

Mother Tongue : Tamil

Languages known : English, Tamil

Current Address : No:15/12a,Old mariamman kovil street, Menambedu,Ambattur,Chennai-600053

Declaration:-

I do hereby declare that the above given information are true and correct to the best of my knowledge and belief.

(Sangeetha.R)

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