Highlights:

Skills:Accounts Receivable Coordinator, Accounts Receivable Analyst, Customer Service Specialist, Customer Relationship Management Specialist, Logistics Officer

Senior Accounts Receivable Specialists 09/2022 - current
First Insight Software Solutions, Mumbai, Maharashtra India
Account Receivable Specialist in Medical Billing in the USA is responsible for managing and processing healthcare claims, ensuring accurate billing, and following up on outstanding payments from insurance companies or patients. They navigate complex insurance policies, codes, and regulations to optimize revenue for healthcare providers. Effective communication and attention to detail are crucial for success in this role.
* Claim processing and submission. * Claim processing and submission. * Submit the claim to insurance companies in order to receive payment for services rendered by a healthcare provider (Hospital & Physicians) * Taking denial status from various insurance carriers. * Checking eligibility and verification of policy. * Analysis of the data. * Converting denials into payments. * Follow Health Insurance Portability and Accountability Act (HIPAA). * Patient eligibility verification. * Account follow up on fresh claims, denials and appeals. * Checking the claim status as per their suspension and denials. * Achieving weekly/monthly audit target. * Giving feedback. * Completing audits for error correction. * Taking quality pre-shift briefing on daily basis. * Supporting the team in process improvement initiative--

New English College 06/2013 - 06/2015
Mumbai, Maharashtra, India
Degree: High School Or Below
Major:Science
High school education typically covers core subjects like mathematics, science, English language and literature, history, and foreign languages. Electives may include arts, music, physical education, and vocational courses.

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