Ankit Sinha

Flat number **b Karol bagh New Delhi

+91-854*******, 800-***-****

Motivated medical billing and coding specialist with over 9-year experience in health operations management, billing, and coding. Expertise in ICD-9 and ICD-10, CPT, and HCPCS coding. Highly skilled in analyzing and validating patient information, diagnoses, and billing data. Demonstrated leadership skills that enable the processing of high volumes of patient information to achieve revenue generation goals.

Core Qualifications:

ICD-9 and ICD-10 Coding

HMOs and Medicare

Operations Management

Quality Assurance and Auditing

CPT and HCPCS Coding

Medical Billing

Medical Records Management

Patient Confidentiality

NextGen HER, EMR. Ecw, Advance MD, Caretracker, Kareo, Chirotouch software

MS Word, Excel, Powerpoint, Quickbook and Outlook.

Staff Training and Development.

Excellent Managerial techniques.

Professional Experience:

ASSOCIATE AT ISYS SOFTECH PVT LTD. JAIPUR:

Contact Insurance carriers or other responsible parties to confirm payment dates and denials.

Handle all claims on denials, rejections and review document accordingly.

Perform timely and accurate submission of claims.

ASSOCIATE AT EXL SERVICES, KOCHI, KERALA

Contact Insurance carriers or other responsible parties to confirm payment dates and denials.

Handle all claims on denials, rejections and review document accordingly.

Perform timely and accurate submission of claims.

Prepare Appeals for first, second and third level too.

Star Performer of the Year Awardee.

SENIOR ASSOCIATE AT ELICO HEALTHCARE SERVICES, HYDERABAD

Conducted thorough research to address patient and insurance company issues regarding physician signature errors, mask screens and the like.

Contacted 30-50/day insurance company representatives and patients to address account issues with timely and corrective measures.

Researched demographic and insurance information for completeness to correct any deficiencies and prevent delays in collection efforts.

On average, completed 75+ claims each day by ensuring claim files were properly documented and coded correctly.

Maintain proficiency in data entry, via Customer Information Control System (CICS) and other technologies and resources.

SENIOR ASSOCIATE AT OPTUM HEALTHCARE, HYDERABAD

Worked on both end client and organization end to verify the eligibilities and verifications.

Worked on aging claims to bring back the money from insurance for the stuck claims.

Prioritized and organized work assignment of approximately 300 accounts to meet deadlines.

Examined, prepared and processed chargeback notifications with valid back up to the customer for payment in order to avoid releasing debt to outside collection agency.

SUBJECT MATTER EXPERT AT NATH OUTSOURCING PVT. LTD.

Work proactively with other departments in identifying and resolving accounts receivable related issues

Analyze billing submitted by field managers, process in accounting software and apply payments.

Performed data entry and administrative functions to produce bi-weekly payroll for approximately 500 employees. Notified units of processing errors on time sheets and assisted with corrections to reduce the number of errors each pay period and increase efficiency.

Ran weekly and daily operating reports. Reporting to client end and taking calls with client for any updates or whenever needed/scheduled.

PAYMENT AND CHARGES TEAM LEAD AT CORONIS HEALTHCARE:

Corresponded via email and telephone collecting on past due accounts, resolving disputes and questions, researching misapplied payments, errors in contracts, and other discrepancies.

Monitored ATB, Worst Case, Unapplied Checks, and other reports on a daily basis to ensure all goals were met and exceeded by deadlines.

Alpha-numeric Data Entry skills of 50-60 wpm.

Team lead winner twice in a year for excellent performance in setting up new projects and team balance.

Daily entry of 50 charges.

Posting 300 payments in a day along with all the tasks for team lead.

ACCOUNTS PAYABLE TEAM LEADER AT MEDVANCE PRIVATE LIMITED

Handling client account

Working on failed and rejected claims.

Part of client review for various accounts on monthly basis.

Attending the call from Onshore team to discuss the daily trends and issues in processing the claims.

Maintain communication with Payers (Insurance) via telephone or payer website if we need any information regarding the claim like check#, date of payment etc.

Inducting different micro level processes of RCM like AR follow up,Denial Management, ERA (electronic remittance advice) management,Appeal and Grievance.

Focus on resolving the denial and rejection rather than writing off the amount.

Priority to high dollars and sensitive case for those whose TFL about to expire.

Work for provider’s based billing,somehow any issue raised in billed claims then

Recreate the claim again with correct info and void the previous claim

Client interaction on weekly,monthly and Quarterly basis regarding the workflow

EDUCATION:

Bachelor degree in Biotechnology from University of Rajasthan.

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