May. 2016 - Aug. 2020Andheri, MumbaiWorking on NextGen Software: Electronic Practice Management (EPM), Electronic Health Records (EHR), System Administrator, File Maintenance. Working close with clients in order to resolve their issues on EPM and EHR, Provided high level customer service and support on various technical and non technical issues ensuring great customer satisfaction, NextGen Certified Proffessional: EPM, EHR, EAS & SCT.
3Gen Consulting Services, LLPTeam Coach RCM
Mar. 2015 - Apr. 2016Pune Area, IndiaAggressive follow up of each claims within 15 to 30 days of submission,
Analysis of Fee Schedules to ensure correct payment,
Analysis of Contracts to ensure eligibility and prompt payment,
Resubmission of claims,
Appeals,
Denial Management,
Educate clients’ to reduce future denials,
Daily Quality audits,
Allocation of worksheet,
Working on Quality and Production report,
Client Calls.
Health-e-Link, Inc.Sr Tech support
Feb. 2012 - Aug. 2014Mumbai Area, IndiaWorking on NextGen Software: Electronic Practice Management (EPM), Electronic Health Records (EHR), System Administrator, File Maintenance. Working close with clients in order to resolve their issues on EPM and EHR, Provided high level customer service and support on various technical and non technical issues ensuring great customer satisfaction, NextGen Certified Proffessional: EPM, EHR, EAS & SCT.
Nov. 2006 - Jan. 2010Handling customer calls/ inbound calls. Supervising/Mentor/Support staff within the department. Customer Service and satisfaction. Responsibilities included helping new joiners. Providing process training for postpaid services, For the agent who migrate from Prepaid to Postpaid Department. Generating reports. Worked in Different department (Prepaid service, Postpaid services, BIG Flix.com and VIP customer care) Achievements Rewarded for Low AHT and ACW, Good Quality, 100% C- Sat, Attendance. Promoted as internal trainer for postpaid services.
Airtel DSASales Executive
Oct. 2004 - Oct. 2006Selling Airtel Postpaid connection. Interacting with Airtel consumer face to face and convincing them to move from prepaid service to postpaid service. Looking up with Activation process for the postpaid services. Verification of documentation.
Dec. 2010 - Feb. 2012Resolving Escalation & Clinic Responses from West team. Wide knowledge in accounts payable and account receivables. Followed up on insurance denials and appeals on unpaid claims. Supervising/Mentor/Support staff within the department. Resolving all Medical claims of Commercial; Claims/Appeal submission through electronic, mail or fax. Billing claims to insurance with adding modifier, posting payment in system, billing patient thru System. Processes medical benefits claims and accurately verifying their information and be able to determine their plan eligibility for any claims. Appeals & Tasking Auditing. Working on Special projects. Handling new agent on floor and Resolving their issue. Achievements 4 times received best performer in terms of Quality, Production and Attendance.
GeBBS Healthcare SolutionsAR Associate
Jan. 2010 - Dec. 2010Account Receivables (AR) Associate.
Wide knowledge in accounts payable and account receivables. Managed and reduce payor billing denials. Working on AR Follow up with insurance companies. Supervising/Mentor/Support staff within the department. Followed up on insurance denials and appeals on unpaid claims.
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