Jun 2023 – Sep 2024 · 1 yr 3 mos · New Delhi, Delhi, India · Remote

• The Accounts Receivable Specialist in Medical Billing is responsible for managing and overseeing the billing and collections process for medical services rendered. This role ensures the accuracy and efficiency of operations by processing and monitoring incoming payments, managing denied claims, and securing revenue by verifying and posting receipts. The specialist works closely with healthcare providers, insurance companies, and patients to resolve billing issues and discrepancies.
• By understanding the reasons for claim denials and implementing strategies to prevent them, healthcare providers can improve their revenue cycle management and ensure timely and accurate payment for services rendered.

Jun 2019 – May 2022 · 2 yrs 11 mos · Jaipur, Rajasthan, India · Remote

• Worked in Medical billing and handling claim denials from Ins.
• Steps to Manage and Prevent Claim Denials
• Verify Patient Information:
• Ensure that all patient demographic and insurance information is accurate and up-to-date at the time of service.
• Obtain Authorizations and Referrals:
• Secure prior authorizations and referrals when required and verify that they are valid.
• Accurate Coding:
• Use current and correct codes that accurately describe the services provided.
• Stay updated with the latest coding changes and guidelines.
• Timely Filing:
• Submit claims within the payer’s specified timeframe to avoid denials due to late submission.
• Medical Necessity:
• Ensure that services provided are medically necessary and supported by the patient’s medical records.
• Comprehensive Documentation:
• Maintain thorough and accurate documentation to support the services billed.
• Regular Audits:
• Conduct regular internal audits to identify and correct potential issues before claims are submitted.
• Training and Education:
• Provide ongoing training for billing and coding staff to stay current with best practices and regulatory changes.
• Follow Up on Denials:
• Develop a systematic process for tracking and appealing denied claims promptly.
• Effective Communication:
• Maintain open lines of communication with insurance companies, healthcare providers, and patients to quickly address and resolve any issues that arise.
• By understanding the reasons for claim denials and implementing strategies to prevent them, healthcare providers can improve their revenue cycle management and ensure timely and accurate payment for services rendered.
• By understanding the reasons for claim denials and implementing strategies to prevent them, healthcare providers can improve their revenue cycle management and ensure timely and accurate payment for services rendered.

Jul 2016 – Jun 2019 · 2 yrs 11 mos · Noida, Uttar Pradesh, India

• Worked Exclusively for Apex Systems and Verizon on full time ,C2C, W2, 1099, W2 contracts, CTH, corp to corp requirments to meet the submission turnaround time within 24 hours. Worked with Barclays, Morgan Stanley, PNC Bank, & other Banking clients. Responsible for recruiting consultants to meet the staffing needs of the company's clients in US.
• Full cycle recruiting responsibilities with multiple contract/contract to hire/direct hire assignments
• Responsible to understand and analyse the requirements in different domain categories.
• Search resumes with required skill sets using JobDiva, Monster, Dice, Techfetch and CareerBuilder
• Screen resumes based on job description, skills, location and other relevant parameters.
• Negotiate on salary with consultants.
• Actively participated in direct client calls to understand their need in particular job requirements.
• Schedule interviews (telephonic and face to face), follow-up on interviews/offers.
• Ensure all paperwork is done after offer (Staffing form, Background check forms, W2 Agreement, Drug test).
• Help consultants regarding time-sheet queries.
• Mentor/train new team members regarding whole recruitment process as required.
• Maintain excel sheet for short-listed consultants (Interview/Po).
• Track responses, short-listing profiles.
• Pro actively building resume database for upcoming/highly potential requirements.

Jan 2013 – Jan 2015 · 2 yrs · Noida, Uttar Pradesh, India

• Job Description:
• Worked Exclusively for TCS full time, C2C, W2 and CTH requirments to meet the submission turnaround time within 24 hours. Responsible for recruiting consultants to meet the staffing needs of the company's clients in US.
• Full cycle recruiting responsibilities with multiple contract/contract to hire/direct hire assignments
• Responsible to understand and analyse the requirements in different domain categories.
• Search resumes with required skill sets using JobDiva, Monster, Dice, Techfetch and CareerBuilder
• Screen resumes based on job description, skills, location and other relevant parameters.
• Negotiate on salary with consultants.
• Actively participated in direct client calls to understand their need in particular job requirements.
• Schedule interviews (telephonic and face to face), follow-up on interviews/offers.
• Ensure all paperwork is done after offer (Staffing form, Background check forms, W2 Agreement, Drug test).
• Help consultants regarding time-sheet queries.
• Mentor/train new team members regarding whole recruitment process as required.
• Maintain excel sheet for short-listed consultants (Interview/Po).
• Track responses, short-listing profiles.
• Pro actively building resume database for upcoming/highly potential requirements.

Nov 2011 – Apr 2012 · 5 mos · Noida sec-16

• Worked as an Anchor. Making new programs and taking interview...host live shows

Mar 2010 – May 2011 · 1 yr 2 mos · Gurugram, Haryana, India

• Worked as Customer care executive Online Chat Support all US Shifts (EST,CST,MST,PST)

Jan 2004 – Feb 2010 · 6 yrs 1 mo · New Delhi, Delhi, India

• Empathy, patience, kindness and respect. An understanding of different clients' needs. Communication skills necessary to interact with a variety of clients and their families. I have the ability to effectively manage the demands of the job.
• Skills:- 1) Personal Care · 2) Meal Planning and Food Preparation · 3) Transportation · 4) Companionship · 5) Medication Management · 6) General Health Care
• Allows and encourages residents to do as much of their own care as possible.
• Help with personal hygiene and care
• Assisting with meals and nutrition ,Home maintenance
• Transportation
• Serves meals to residents.
• Encourages residents to eat a proper diet and take adequate fluids while respecting the resident’s right to free choice and records and reports changes in resident’s eating habits to the supervisor.
• Initiates and participates in leisure activities provided for residents as described in the activity calendar and encourages residents to socialize and participate in planned activities or programs to develop friendships with other residents. Maintains residents’ records daily in a timely manner and in accordance with company policy and procedures; documents medication distribution as applicable, leisure activities, incidents, and observations; reports any changes in resident’s physical condition and/or behavior, and visitors; observes and reports the health and emotional condition of each resident; Assists residents with medication as defined in medication procedure; assists or supervises residents who self-administer medication; follows physician orders and state laws to administer medications to residents who cannot self-administer their medications; and exhibits understanding of and follows medication policies and procedures. Maintains a clean, safe, and orderly environment for the residents; performs general housekeeping; and follows cleaning schedules for resident laundry, bedrooms, dining area, living space, bathrooms, kitchen, and other areas.