SWETA PRASAD
Elgin, IL ***** : 630-***-**** : ***********@*******.***
Professional Summary
Methodical Revenue Cycle Specialist with strong attention to detail and understanding of billing procedures. Excellent planning and problem-solving abilities. Prepared to bring related experience to a dynamic position with room for career growth. Dependable candidate successful at managing multiple priorities with a positive attitude.
Skills
Medical Billing Procedures
Insurance Verification
Managing Records
Claims Review
Customer Service
Team Player
Detail Oriented
Organized
Work History
Revenue Cycle Specialist, 1/2022 to Current
Athletico Physical Therapy - Westmont, IL
Worked in Nextgen application
Worked on A/R report in Excel of multiple clinic location
Checked on status of claims by calling Claims Examiner and Bill Review
Used Insurance portals to check claim status
Got authorization on claims
Reviewed documents to analyze the claim
Appealed on denied claims
Rebilled claims and adjusted claims
Participated in team meetings for update on work flow of particular Insurance carrier
Collected around $100K monthly consistently since August, 2022
Patient Registration Representative, 3/2021 to 12/2021
R1RCM- Amita Health Glenoaks Hospital - Glendale Heights, IL
Worked in Cerner application
Scanned ID, Insurance and Doctor’s Script in EHR system
Added notes in EHR system
Verified Demographics and added it in system
Got Consent Forms signed
Verified Insurance by calling the insurance carrier and in their portal
Called clinics for doctor’s script
Answered patient inquiry over phone and in person
Scheduled patient appointments in respective doctors’ calendars and followed up with reminder phone calls
Explained financial responsibilities to patients as well as payment options and potential collection procedures
Assisted with medical coding and billing tasks
Starbucks Barista, 10/2019 to 2/2021
Meijer – Saint Charles, IL
Listened carefully to customer requests and created personalized, delicious beverages, which improved sales
Helped management keep adequate supply on hand by notifying of shortages
Elevated customer loyalty by using strong communication abilities to resolve customer problems
Trained new team members with positive reinforcement and respectful, encouraging coaching
Recommended products based on solid understanding of individual customer needs and preferences
Operated espresso machines and commercial coffee brewers to create beverages
Completed successful daily cash audits to correctly balance drawers at end of shifts
Volunteer, 1/2013 to 1/2014
Gail Borden Public Library – Elgin, IL
Supported engaging, fun, and smooth-running events by helping with organization
Represented organization positively and professionally while providing community with much-needed services
Education
Associate in General Studies: General Studies, 8/2021
William Rainey Harper College – Palatine, IL
Mostly had Math and Computer Science courses
Undergraduate: Catering Technology And Applied Nutrition, 3/1999
Institute of Hotel Management – Calcutta, India
Learned about Hotel operation and applied Nutrition
High School Diploma: 5/1996
Delhi Public School – Dhanbad, India
Majored in Biology
Certifications
Certificate in Medical Billing and Coding, 11/2018
Elgin Community College – Online
Learned to use ICD-10 and CPT manuals
Certificate in Medical Administrative Assistant, 2/2021
Elgin Community College – Online
Learned the duties of medical administrative assistant
Certificate in Business Analyst, 2/2023
Synopsizer Technologies Inc – Online
Learned the tools used by a business analyst to access how the organizationis performing and improve their process and system
Languages
Hindi -Native or Bilingual