Medical Billing Lancaster
Resume:
***********@*****.***
Bengaluru
CAREER OBJECTIVE
3+ years experienced, Dynamic and result oriented individual looking to join an Organization in Human Resource Management function to enhance my Career in Human Resource, apply professional competencies, improve knowledge, and contribute to the Organization Top and bottom line in various Protfolio’s and for Personnel development. PROFESSIONAL EXPERIENCE
Senior Executive & Trainer Oct '19 - Present
Omega HealthCare
A revenue Cycle management industry in Healthcare Domain CLIENTS HANDLED : American Medical Response, Gold Coast, Riverside Medical; International Life Support Executive - Medical Billing Jun '17 - Jul '19
Logix HealthCare Solutions
Is one of the recognized leader in emergency department revenue cycle services and has unsurpassed ED coding qualifications CLIENTS HANDLED : Neshoba, Lancaster, Regional Medical Centre KEY SKILLS
Communication Interpersonal Accounts Analysis Account Management Vendor Management MIS Reporting Accounts receivable Operations Multitasking Reporting Process Training EDUCATION
TECHNICAL SKILLS
LANGUAGES
Bangalore
Coimbatore
Praveen Kumar
Senior Executive & Trainer
Responsible of AIR,LAND, WATER medical transportation bills that provides emergency, non-emergency and managed transportation
Liaising between insurance companies, patient & DOCTORS ( The Provider ) to solve any disputes and Ensure smooth money transaction
Reviewing medical records and bills for accuracy / completeness and obtaining any missing information Verifying insurance coverage and obtaining authorization for services Providing clarifications to insurance companies with regards to certain clauses related to a claim Following up with insurance companies on unpaid or rejected claims ensuring Reimbursement for the services provided during patient’s treatment
Handling patient enquiries and answering questions related to the billing amount, co-pays, deductibles, write-off. Following HIPAA guidelines in handling patient information Reimbursement for the services provided during patient’s treatment. Ensuring that patients are provided with accurate services within a quick turnaround time Correcting and resubmitting claims.
Prioritizing and working on different age buckets. Proficient in use of various billing software such as EMBILLZ, JAGUAR, MEDISOFT & ALLSCRIPTS Response to any kind of correspondence from Doctors,patients & insurance stakeholders Responsible for processing payments, updating patient data, developing payment plans and drafting invoices. Follow up with insurance companies for reimbursements Denied & appeals on resolution plus obtaining authorizations Bharathiar University - MBA Technology management, 2020 - Distant Ramakrishna Vidhyalaya Mission - Bachelor of Commerce, 2017 - Full Time MS Office : Word, Excel, PowerPoint & Outlook
HRMS Software - GreyTip, ERP
English, Tamil, Kannada,
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