Ankit Nehra

Experience

• 

  Advantech Surat

  Feb 2015 - Mar 2019

  Senior Process Associate

  • AR audit, ERA payer denial. • Training staff about account receivables and their denials. • Credentialing. • Take necessary action on denial claims to get paid correctly. • Appeal processing and follow up. • Patient statement and collection. • Maintaining reports. • Eligibility and benefits. • Out of network billing. • Negotiate with TPA for out of network claims. • Examine patients encounter forms to verify diagnosis codes, and reconcile codes against services rendered. • Accurately input procedure and diagnosis codes into billing software to generate invoices. • Document patient data and medical records. • Review and validate accuracy of charges, including dates of service, services provided, location, and patient identification. Show less

• 

  Yosa Technology Solutions Pvt Ltd

  Mar 2019 - now

  Account Manager (RCM AR)

  * HIPAA compliance certified Executive.* Highly skilled in insurance & provider credentialing work with over 3 years ofexperience.* Worked on multiple Medical claim projects with insurances in previous billingorganization.* Expert in reviewing and validating accuracy of charges, including dates ofservice,services provided, location, and patient demographics.* Highly skilled in examining patient’s encounter forms to verify diagnosis codes,andreconcile codes against services rendered.* Expert in monitoring the receivable to ensure that it is well within control.* Knowledge of out of network claims billing.* Expert in negotiation on out of network claims with third party and settling claimwith high amount as per provider expectation.* Highly skilled in claim appeal process and follow ups.* Worked for multiple medical specialties like Cardiologist, Gynecologist,Gastroenterologist and Internal Medicine.* Experience of patient collection.* Knowledge of EHR softwares like Eclinicworks, EHIconnect, NueMD andPractice Fusion.* Expert in patient payment posting by recording cash, checks, and credit cardtransactions.* Experience of working with medical payers including Medicare, Medicaid andcommercial insurance.* Demonstration of skills in MS Office (Word, Excel, PowerPoint, Access,Outlook).* Expert in generating monthly report to check claims to be processed on timeand process correctly. Show less