Data Entry Medical Billing

NAGALAXMI VISVESWARAN

** ****** *****, ******, ** 92618

Mobile: 267-***-****

Email: ***************@*****.***

Objective

To obtain a challenging position in a career-oriented clinic, hospital or insurance company. I would like to use my knowledge in coding/billing and computer skills to increase efficiency in operations.

Qualification summary

*Proficient in Medical Insurance Billing, Medical Terminology, Medical Coding, Medical Transcription and Insurance plan knowledge.

*Medical software knowledge: CMS certifications, CPT coding, ICD-10, UB-04

*Working knowledge of Microsoft Word, Excel and Power Point.

*Experience in EclinicalWorks and Prima.

*Outstanding oral and written communication skills.

*Pleasant extroverted personality.

*Strong ability to multitask, organized, disciplined and detail oriented.

*Can type 50 wpm

*Multilingual – Fluent in English, Hindi, Tamil, Telugu

Education

Medical Billing and Coding – (Torrance Adult school) - 2022

Certified Billing and Coding Specialist (CBCS)

Certified Professional Coder (CPC) – Pending

CMS.gov, HIPAA, OSHA compliance, FWA training

Anatomy – 2016 (AAPC, Online)

Medical Terminology – 2016 (AAPC, Online)

Masters in English Literature 1997 (Osmania University, India)

Experience

Pacific Neuropsychiatric Specialists, Orange County

Billing and Data co-ordinator (Oct 2024 to date)

Billing experience using EClinicalWorks EMR system

Used Tiger Connect to handle inactive emails and register new patients throughout the day, compiling and sending a list for status analysis.

Processed average of 40 plus claims daily across 30 facilities in Irvine, Long Beach, and Orange County, ensuring proper documentation before claim submission.

Primary tasks included data entry, claims processing, and ensuring accurate coding based on client health information.

Maintained separate records for Private Payers, Scholarship Payers, and Worker’s Compensation Payers in facility-specific spreadsheets and added unknown instances to tracking lists.

Verified benefits (VOB) for Medicare and Cal-Optima clients before processing claims or adding them to spreadsheets if verification failed.

Managed LAPD and IEHP claims separately, as they could not be processed in a standard way.

Ensured consent forms were uploaded to the facility drive and requested missing forms from patients or guardians in the case of minors.

Tracked and managed required consent documents, including Informed Consent, Telemedicine, PHI Release, Lab, Drug Test, and Pregnancy Consent Forms

Analyzed and followed up on less commonly known insurance providers such as Magellan and Halcyon to ensure proper claim processing and documentation.

South County Orthopedic Specialists, Laguna Woods

Billing Specialist (November 2022 – Jan 2023)(Converted from Contract to Hire)

Verified and processed medical bills

Co-ordinated with medical personnel including orthopedic specialists in finalizing bills

Used Prima Software Billing system extensively

Handled large dollar value super bills

Used Optum for verification of codes

Used Opal Rad a picture archiving and communication systems for verification of images for billing purposes

Handled bills for MRI’s

Medical Professionals (Contracted at South County Orthopedic Specialists, Laguna Woods)

Claims Scrubber (July 2022 – November 2022)

Reviewed medical claims for coding and accuracy

Assigned tasks for correction to Doctors/Billers as needed

Sodexho/Aramark, Doylestown, PA

Cafeteria cashier (2009-2011)

Worked as a cafeteria assistant in Central Bucks East High school in Doylestown, Pennsylvania. Primary duties were of a cashier and involved checking out student meals and reconciling the register at the end of the day.

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