Payment Posting Specialist with Insurance Billing Expertise

Yokesh Kumar E Present Address:

B.Com (Corporate Secretary-ship) No: 15/7 Mohammed Hussain lane,

Contact No. :- +91-909******* Royapettah, Chennai-600014 E-mail:- **************@*****.***

CAREER OBJECTIVE

Seeking a Growth Oriented Organization Where I Can Enhance my Skills and can prove My Capabilities in Order to Achieve Organizational as well as My Goals. WORK EXPERIENCE

Company Name : ACCESS HEALTHCARE

Designation : “Senior Client Partner”

Period : July 2024 – August 2025

ROLES AND RESPONSIBILITIES

Prepare Payment batches and assess explanation of benefits from insurance companies

Auditing internal cases where payments posted for Multi-claims

Segregating Patient Responsibility (Deductible Co-pay Co-Insurance) based on the amount

Recording the patient's payment in the software.

Handling Recoupment, Overpayment, Offset, Refund

Knowledge on Correspondence

If the payment or patient response did not occur, we posted it as a denial and included a code for the denial reason.

Responsible for billing patients directly, either for patient’s responsibility or for services not covered by insurance

Reconciliation Work will be done on daily and monthly basis

Knowledge of E2E (Eligibility, authorization, medical records, Clia, pos, modifiers)

Download EOBs from the website Availity, Trizetto, Waystar and UHC portal & enter payment information into the software.

Software knowledge of ECW, Mod-Med, and Collaborative MD (CMD) PREVIOUS WORK EXPERIENCE

Company Name : Ecare India Pvt Ltd.

Designation : “Senior Executive – Financial Transaction” Period : June 2023 – February 2024

ROLES AND RESPONSIBILITIES

Prepare Payment batches and assess explanation of benefits from insurance companies

Auditing internal cases where payments posted for Multi-claims

Segregating Patient Responsibility (Deductible Co-pay Co-Insurance) based on the amount

Handling Recoupment, Overpayment, Offset, Refund

Knowledge on Correspondence

If the payment or patient response did not occur, we posted it as a denial and included a code for the denial reason.

Responsible for billing patients directly, either for patient’s responsibility or for services not covered by insurance

Assigning batches to associates based on the inflow

Download EOBs from the insurance website and enter payment information into the software.

Successfully handled the huge volume hike with the help of team members PREVIOUS WORK EXPERIENCE

Company Name : Exterprise Services

Designation : Team coach – Medical Billing Payment Posting Period : September 2020 – June 2023

ROLES AND RESPONSIBILITIES

Prepare Payment batches and assess explanation of benefits from insurance companies

Auditing internal cases where payments posted for Multi-claims

Segregating Patient Responsibility (Deductible Co-pay Co-Insurance) based on the amount

Handling Recoupment, Over payment, Offset, Refund

Knowledge on Correspondence

Responsible for billing patients directly, either for patient’s responsibility or for services not covered by insurance

Framing work direction and plan for the associates after assessment of their capabilities

Conducting internal process audits & process reviews for ensuring strict adherence to the process parameters/systems as per defined guidelines

Guiding & monitoring the performance of team members to ensure efficiency in process operations and meeting of individual & group targets

Based on Goals and Objectives, providing direction and feedback

Assigning batches to associates based on the inflow

Leading, training and monitoring the team members for maintaining excellence in the service operation

Acted as an escalation gate to resolve team's queries and concerns

Successfully handled the huge volume hike with the help of team members PREVIOUS WORK EXPERIENCE

Company Name : Magus Customer Dialog Pvt Ltd

Designation : Inbound Retail Queries

Period : Sep 2017 - September 2019

ROLES AND RESPONSIBILITIES

Responding to customer queries via call

Troubleshooting customer issues

Answering customer questions about project

Following-up with customers to ensure their issues are resolved

Escalating customer issues to higher level support when necessary

Tracking customer issues and documenting solutions

Upselling customers on additional products and services TYPING SKILL

Typing speed: Alpha/Numeric - 40/min

Accuracy: 98%

BASIC ACADEMIC CREDENTIALS

Qualification Board/University Year Percentage

B.Com (Bachelor

of Commerce)

Guru Nanak Collage Of Arts and

Science

2014-

2017

50%

H.S.C. Railway Mixed Higher Secondary

School

2014 76.6%

S.S.L.C. Railway Mixed Higher Secondary

School

2012 66.6%

INTERPERSONAL SKILL

Ability to rapidly build relationship and set up trust.

Confident and Determined

Ability to cope up with different situations.

Able to grasp new concepts quickly and efficiently

Verbal Communication and Listening Skill.

PERSONAL DETAILS

Father’s Name :- Elangovan S

Permanent Address :- No 15/7, Mohammed Hussain lane, Royapettah, Chennai – 600014

Date of Birth :- 31th December 1994.

Language Known :- English & Tamil.

Marital Status :- Unmarried.

Nationality :- Indian.

DECLARATION

I do hereby declare that the above information is true to the best of my knowledge. Place: Yokesh Kumar E

Date: (Signature)

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