Appointed as an Auditor, auditing 49 mental health doctors client's work for charges, Account Receivables & denied claims, Working on billing software (Electronic Health Record): Client interactions / calls, team meetings, team handling, taking care of Service Level Agreement & Key Result Areas, Daily Production & Quality Tracker, working on Billing & Practice specific guidelines. Working on Defect Per Opportunity and Defect Per Unit. Strictly obeying HIPAA act 1996 and Compliance.

Appointed as an Auditor, auditing Client's work, particular emphasis on revenue generation. Client interactions / calls, team meetings, team handling experience of 20+ QAs, leave management, taking care of SLA & KRA, briefing updates, updating daily QAT & DPT, Working on DPO and DPU. Extracting, preparing reports from client's software, allocating them, Preparing Dashboard weekly, monthly, analysis of quality percentage & error type, error percentage & preparing Error Pareto, Bottom Quartile Management. Biller wise root cause analysis, feedback & coaching.

My responsibilities included follow-up on pending account receivable, working on all types of denial insurance claims, calling across USA to the insurance companies. Learnt front office, mid office, and back office workflow which includes, preparation of patient's demographic information, content editing, preparing content for client and co-coordinating with them, checking benefits & eligibility, encounter, progress notes, ready to bill process converting front, mid & back office process into a standard CMS 1500 claim form.

Worked on all types of denials and was working toward resolution for provider getting paid. Worked for more than 500 in-network providers (MD Anesthesiologists) aligned to Valley which is in-network with thousands of insurance companies. Contacting insurance companies across USA, making them to process or reprocess claims & payment.

Coram home infusion services. Job profile, contacting insurance companies across the USA regarding claims of patients and getting the current status, follow-up on denial claims for getting them resolved, for payment and updating status into client software.

Responsibilities: Plantation, cultivation, harvesting various crops, such as vegetables, fruits & horticultural specialties and field crops. Used hand tools shovel, hoes, pruning, shears, knives, and ladders. Performed duties such as filling the soil, applying fertilizer and pesticides, transplanting, weeding, thinning, pruning, picking, cutting, cleaning, sorting, packing, processing and handling harvested products. Performed and executed the setting up, operations maintenance & repair of sprinklers, fences and farm buildings.

Science, Master of Science

University of Mumbai, India, Animal Physiology and Biotechnology

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