Insurance Medical

SAMPRIKTA PATRANABISH

Address: Flat *E, Block-*, Chinar Heights, 46/3 Chinar Park, Kolkata - 700157

Phone: +91-759*******

Email · ****************@*****.***

CAREER OVERVIEW

Dedicated Customer/Office Service Representative motivated to maintain customer satisfaction & contribute to company’s success

EXPERIENCE

JANUARY 2019 – AUGUST 2020

MEDICAL INSURANCE EXECUTIVE, TATA MEDICAL CENTER

Created monthly reports for records, closed terminated records & completed chart audits

Liaison for client and insurance company including claims processing, analyzing insurance receivables and reports

Worked with department staff to research, identify and provide solutions to client and insurance company inquiries

Generated, updated and maintained patient profiles for both current and new clients

Trained new employees with patience and guidance; ensured on the job training was current and correct

Prepared bills with required documentation and distribute accordingly in a timely manner to expedite payment

Demonstrated strong attention to detail and ability to multitask within the fast-paced, high-pressure work environment

Completed insurance verification forms and sent to the TPAs and billing department

Interacted with clinical staff, patients, co-workers, and other departments in a positive and professional manner

Consistently informed patients of their financial responsibilities prior to services being rendered

Acted as a liaison between the clinical department and patient account representatives in resolving billing and reimbursement accuracy

Responsibilities also included data input of patient demographics, verifying, patient insurance coverage, obtaining medical referrals, ordering and maintaining office inventory

FEBRUARY 2017 - JANUARY 2019

MEDICAL INSURANCE EXECUTIVE, SHANKAR NETHRALAYA

Provided responsive and proactive customer service via telephone, e-mail and face to face

Coordinated and scheduled medical appointments and determine patient eligibility for provided services

2

Provide other administrative and clerical duties in support of the operational team

Created monthly reports for records, closed terminated records & completed chart audits

Liaison for client and insurance company including claims processing, analyzing insurance receivables and reports

Worked with department staff to research, identify and provide solutions to client and insurance company inquiries

Generated, updated and maintained patient profiles for both current and new clients

Trained new employees with patience and guidance; ensured on the job training was current and correct

Prepared bills with required documentation and distribute accordingly in a timely manner to expedite payment

Demonstrated strong attention to detail and ability to multitask within the fast-paced, high-pressure work environment

Completed insurance verification forms and sent to the TPAs and billing department

Interacted with clinical staff, patients, co-workers, and other departments in a positive and professional manner

Consistently informed patients of their financial responsibilities prior to services being rendered

Assisted providers and other staff with other duties, contributing to a team atmosphere EDUCATION

JULY 2014

M.A. IN POLITICAL SCIENCE, RABINDRA BHARATI UNIVERSITY MAY 2012

B.A. IN POLITICAL SCIENCE (HONS), WEST BENGAL STATE UNIVERSITY SKILLS

Strong Organizational skills

Solution Oriented

Strong Interpersonal & Communication skills

Skilled Negotiator

Eye for Details & Multi-tasking

List one of your strengths

HIGHLIGHTS & ACCOLADES

Received numerous accolades from peers across functional teams for excellence in service deliverance

Received appreciation from patient on well-coordinated expedited issue resolution

Multiple appreciation from Senior Leadership across Hospital Management, TPA’s etc. on handling critical situations & effective/timely resolution

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