Bavithira V

No: *B, Anjaneyar Kovil St,

Porur, Mobile: 971-***-****

Chennai – 600116 Mail: adnfi3@r.postjobfree.com

PROFESSIONAL OBJECTIVE:

A Management position where I can advance my knowledge and abilities to obtain personal and professional development within a growing company. SKILL HIGHLIGHTS

• Medical Terminology.

• Typing skills.

• Maintain patient records insurance claim forms.

• Assign medical codes

• Data entry

• Accounts receivable

• Knowledge of HMO’s, Medicare, Medicaid program and commercial products.

• HIPAA Compliance, Current on HIPAA regulations.

• Multi- tasking with computers. Excellent computer skills

• Ability to learn fast, confident and commitment to the work assigned.

• Ability to work in teams and handle wide range of tasks.

• Receive and complete medical claim forms.

• Proper use of CPT and HCPCS codes.

• Operate databases and medical billing software.

• Computer: Windows, MS. Word, MS. Excel, Ms. PowerPoint, Outlook, Medical billing software, Email, internet and voice mails.

INDUSTRY EXPERIENCE

• 1 year and 4 months of Experience in US Healthcare industry billing as a Process Associate at Source HOV under US Healthnet for California client.

• Processing hospital bills and statements along with medical, dental and visions claims for civilians and Military veterans and soldiers.

• All claim information were complete before forwarding to the medical billing office as well as insurance companies (i.e. United healthcare, AARP, Cigna).

• 2 years of Experience in US healthcare industry under billing for provider side and enrollment process under payer side as a SR Account receivable Executive at NTT Data Global Delivery Services in Denial Management. Later Promoted as Senior Patient billing representative end to end process handling.

• Knowledge in AR (accounts receivable) analyzing - End to end process. Worked for all provider’s that required special accounts receivable clean up.

• Knowledge in correspondence posting, Manual payments, and recoupment of accounts.

• Retrieving AR Review report for State wise & Appeals management.

• Updated demographic for using computerized patient care system. Good understanding of medical billing policies.

• Captures the patient's name, date, address, social security, insurance policy holder and any other information that goes along with their claim such as hospital bills and statements. Carried out HIPAA regulations.

• Knowledge in billing software like Imagine Exe,True Doc, Imagine V5, Imagine V10, Epic Software, and Next gen and Advanced MD Dr.Chrono and Medadvantage, ABS, EBS etc.

• Handling the insurance companies (Medicare, Medicaid, BCBS, HMO’s, IPA’s, W/C, Aetna, etc) for the rectification of denials

LEADERSHIP & ACHIEVEMENTS

● Received client appreciations for maintaining the region health under Turn Around Time.

● Received Client Appreciations in Maintaining Good Report of Spreadsheets of the Process

● I got an On-the-Spot Award for making Process to Understand the Team Purpose in Enrollment Process in the year of 2017- 2018.

ROLES & RESPONSIBLITIES

• Worked under payer side (for insurance company).

• Handled EMR and EHR formats. Handled in Medical records data entry.

• Enrolling patients under multiple plans under multiple insurance.

• Also worked under claims adjudication process.

• Analyzing the claims from providers and will pay the patients claims as per the given protocol.

• Knowledge in medical data entry claim forms of HCFA 1500 or CMS 1500, UB92 and UB04.

SENIOR EXECUTIVE:

• Responsible for monitoring Denials, Appeals and resolution from participating insurance carriers and working proactively to collect from insurance carriers.

• Analyzing of outstanding denials and cases which requires additional information.

• Handling the insurance companies (Medicare, Medicaid, BCBS, HMO’s, IPA’s, W/C, Aetna, etc) for the rectification of denials

• Documenting the denial reason on the particular denied charge and take necessary end action if required.

ACADEMIC CRONICLE

• Completed Post Graduation (PG) in Master of Science at Kurinji College of Arts and Science and had secured 80% marks.

• Completed Under Graduation (UG) in Bachelor of Science at Kurinji College of Arts and Science and had secured 79% marks.

• Completed higher secondary education from Government Girls Hr. Sec. School, State Board of Higher Secondary Education and secured 54.25%.

• Completed S.S.C Government Girls Hr. Sec. School under State Board of Secondary Education. Had secured 73% of marks.

PERSONAL PROFILE

Father’s Name : Vasudevan S

Date of Birth : 20th April 1992

Nationality : Indian.

Religion : Hindu.

Languages : Tamil, English

Gender : Female

Marital status : Single

DECLARATION

I hereby declare that all the above-mentioned details are authentic to the best of my knowledge.

Place: Chennai Yours’ Faithfully,

Date: Bavithira V

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