Experience

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  Maple software pvt. ltd.

  Sept 2010 - Apr 2012

  Billing executive

  • Responsible for Patient Demographics Entry and Charge Entry for Professional Billing• Patient insurance eligibility verification• Maintain data problem logs for all issues• Follow-up with the problem logs to resolve the issues• Achieve given targets with quality guidelines• Follow and to imply the client specifications and client requirements

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  Mahathi

  May 2012 - Feb 2013

  Process associate

  • Generate daily payment posting reports and payment status• Generate daily payment audit reports to tally the daily deposits• Maintain payment problem logs for all issues• Follow-up with the problem logs to resolve the issues• Capture the zero payments and maintain a separate log for all denials received from insurance carriers• Take appropriate actions for all denials and send the claims to the calling team if requires• Follow-up with all the claims until the patient account zero out. Show less

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  Rise corporation

  Mar 2013 - Mar 2021

  Rcm group leader

  •Worked with the clearinghouse and the payers to ensure all claims were processed and received by the insurance companies in a timely manner.•Coordinated efforts across all departments to decrease billing errors and increased revenue, working closely with billing & collections to determine opportunities for improvement.•Analyzed the top denials for each client and identified solutions to increase cash and A/R days.•Wrote policies and procedures for billing, collection, and posting.•Trained physicians and lead in-service presentations to ensure compliance on correct coding and documentation•Reduced time to learn new software applications with development of instructional training manuals.•Responsible for processing payroll for bi-weekly & Monthly,Analyzing & reconciling of payroll.• Audit to ensure all information accurately flows into Payroll• Maintained a strong relationship with all clients and presented trends to them on a monthly basis.Hospice Billing Specialist:• Experience with Submitting of Notice of Elections for agencies & NOTR (Medicare)• Experience with Submitting of 3071 & 3074 Forms to TMHP (Medicaid).• Working knowledge of DDE and TMHP systems & Good Knowledge in guidelines for hospice and DADS portal, contract rates etc.•Preparation & submitting of 855I,R,A B application, 588 EDI enrollments and credentialing.• Strong work ethic, self motivation and ability to work independently Show less

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  Self-employed

  Apr 2021 - now

  Revenue cycle management & credentialing consultant

  Managing the entire Revenue Cycle. Over see various healthcare function such as: Interpretation of Managed Care Contracts and confirmation of correct reimbursement, Pre-registration, Insurance Verification, Billing, Account Follow Up, Registration, Coding, Point of Service Cash Collections, Cash Posting, Bad Debt, Credentialing,, Financial Counseling, Customer Service Collections .

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  F5 hiring/web solutions

  Mar 2022 - now

  Crm manager