About
Highly detail-oriented Medical Billing Specialist with over 3 years of experience in optimizing revenue cycles and ensuring regulatory compliance within the healthcare industry. Proficient in ICD-10, CPT coding, and adept at resolving billing discrepancies to accelerate timely payments. Seeking to leverage proven expertise in claims processing, insurance verification, and stakeholder communication to enhance financial efficiency and patient satisfaction for a dynamic healthcare organization.
Work
Omega Healthcare
|AR Associate
Bangalore, Karnataka, India
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Summary
Managed accounts receivable operations for a leading healthcare BPO, ensuring efficient claims processing, compliance, and revenue recovery for diverse clients.
Highlights
Analyzed and effectively reprocessed rejected/denied medical claims, significantly reducing outstanding accounts receivable and accelerating payment recovery for healthcare clients.
Consistently achieved and exceeded daily and monthly collection targets, optimizing cash flow and contributing to the financial efficiency of client operations.
Managed end-to-end claims processing and insurance verification, ensuring high accuracy rates and strict compliance with medical billing regulations, including ICD-10 and CPT coding standards.
Conducted thorough follow-ups on pending claims and maintained comprehensive status reports, enhancing workflow efficiency and providing transparent insights into billing cycles.
Education
Karnataka college of management and science
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Bachelor
Commerce
Reva independent PU college
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Higher Secondary
Higher Secondary Education
Languages
English
Hindi
Skills
AR caller
Medical Billing & Coding
ICD-10, CPT Codes, Claims Processing, Insurance Verification, Accounts Receivable Management, Denial Management, Payment Posting, Healthcare Regulations, HIPAA Compliance, Medical Terminology.
Software Proficiency
Microsoft Excel, Microsoft Word, Microsoft PowerPoint, Billing Software.
Financial Operations
Revenue Cycle Management, Collections, Financial Reporting, Data Accuracy.
Communication & Collaboration
Client Relations, Stakeholder Communication, Problem Solving, Team Collaboration, Active Listening.
Analytical Skills
Data Analysis, Discrepancy Resolution, Process Improvement.