Customer Service Office Manager

Geena Ohri

** **** *****, *********, ** *****

Cell: 732-***-****

***********@*****.***

Objective: To obtain a position with a progressive company that will allow me to utilize my technical and customer service skills to build a professional background with the knowledge and training received to expand provide growth opportunities in the future.

Experience:

Billing Agent, HGS EBOS LLC Jan 2019- Present

Expert level knowledge on Medical coding, Billing and Medical Claims, Interfacing medical insurance companies and Medicare & Medicaid

Filed claims electronically and on paper (HCFA-1500)

Preparing paper work for Medicare, Medicaid and Commercial insurance companies for billing purpose(s).

Performing aging tasks for insurance receivables and follow up with insurance companies.

Proficient in understanding EOB's & identifying reimbursement errors.

Reviewed remittance codes from EOBs/ARs, and posted charges, payments, and adjustments. Stayed current with changes in HCPCs, CPTs, DRG, and reimbursement for Medicare and Medicaid for the Charge master.

Gained expertise in all aspects of medical billing including filing claims, refund requests, re-filing rejected claims, completing appeals, and adjusting underpayments.

Medical Office Manager, Kespra Medical Center Jan 2017- Jan 2019

Direct and coordinate all activities related to patient & provider care and services, including managing and manipulating patient, physician and staff schedules

Direct and coordinate clinical and administrative work activities including the office billing process

Managing work schedules, payroll, office budget and purchasing activities to ensure fiscal responsibility

Market/promote the office with educational materials, and participate in Practice events including but not limited to Medtronics Glucometer training, HRT explanation to patients, Platelet hair replacement therapy consultation

Billing and Coding Specialist (Dr. G Ghanekar (OBGYN) and Dr Juhee Gupta (Oncologist) Jan 2007-Dec 2016

Responsible for submission of primary and secondary medical claims

Follow-up with patient/insurance carriers for payments with inaccurate or missing information.

Interacted with insurance companies regarding pre-authorization, claims status benefits and eligibility

Post charges to patient accounts, account submission, account follow-up, account collection, cash posting, and cash allowances

Abstract charges from medical record/charts and assign appropriate ICD-9 diagnosis codes and CPT procedure codes

Familiar with clearing manual and electronic rejects and edits to expedite the claim cycle

Perform history taking and reports from the doctor’s dictation

Education:

BA Economics, Rajasthan University, Jaipur, India 1976-1979

Masters Degree in Economics Rajasthan University, Jaipur, India 1980-1981

Skills:

Window 95/98/Xp2000

Fluent in English,Hindi

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