Seeking a position in a challenging and dynamic environment, where I would be able to refine my skills and knowledge obtained from my academic and research work with mutual growth. I want to work in an environment where I can fulfill my responsibilities and build up myself according to opportunity. Highly communicative individual with strong interpersonal skills and an ability to adapt to working in team environments and ability to meet the challenges.
Preparing, reviewing and transmitting claims using Billing software, including electronic and paper claims.
Follow up on unpaid claims and rejections.
Calling insurance companies regarding any discrepancies in payments if necessary.
Identify and billing to secondary or tertiary insurances.
Works on Follow up of assigned claims with open accounts receivables via Insurance Portal or Insurance Calls.
Retrieve Explanation of Benefits (EOBs) from the Payer during follow up for a payment confirmation.
Appealing denied claims.
Ensure the patient’s medical information is accurate and updated.
Review rejected claims, correct as needed, and resubmit or appeal.
Process healthcare claims and perform accounts receivable (AR) functions.
Reviewing patient bills for accuracy and completeness, and obtaining any missing information.
Following up on unpaid claims within standard billing cycle timeframe.
Organizing and conducting team meetings. Ensuring team members are prioritizing their work duties.
Handling complaints from staff and customers.
Ensuring all administrative records are up to date.
Worked as a rotational staff member in Quality Assurance Department.
Provide training and support to quality assurance team on systems, policies, procedures, and core processes.
Responsible for the development and implementation of inspection activities, the detection and resolution of problems, and the delivery of satisfactory outcomes.
It is purely a customer services job with core value of customer retention by providing best possible solution according to SOPs.
Handle customer complaints, provide appropriate solutions and alternatives within the time limits; follow up to ensure resolution.
Provided information regarding entry test and academic schedule to the visiting parents and solution of students’ problems.
Prepared and managed time table, test schedule, daily campus report, student record and class discipline