Experience

Dr Sunny Medical Centre

• India
• Hospitals and Health Care
• 1 - 100 Employee

• Insurance Coordinator

  • Jul 2018 - Present

  In charge of obtaining OP approval request along with medical report with CPT and ICD09 or ICD10 codes to insurance companies via email. Online entry or fax and as well as taking verbal approval for urgent and emergency cases • Coordinating between insurance companies regarding eligibility, payments, approval and other requirements. • Responsible in impalement and networking process to bring all insurance companies on board • Submitting claims and resubmitting rejected claims through DHPO-Eclaim link • Train company staff on correct company procedure and other insurance related issues. • Obtain knowledge of insurance companies about their policies and their discount structure. • Posses knowledge of dental approval and billing. Show less



Eurofins Biomnis Middle East

• United Arab Emirates
• Medical and Diagnostic Laboratories
• 1 - 100 Employee

• Insurance and Billing Coordinator/Administration

  • Sep 2015 - Jun 2018

  • Keep an updated list of clients and set-up a recall list and follow up with clients, and follow-up insurance approval requests through EClaim linked Insurance Portal. • Follow up payments with Insurance Companies and TPAs, Submits monthly Insurance e-Claims resubmission. • Prepare patient's quotation, invoice and billing, and document it accordingly (patient's file and clinic's books) • Prepares Daily and Monthly reports (Income, Expenses, Receivables, Bank Reconciliation) • Responsible in handling Daily Collection, Credit Card Report, Petty Cash Account and Expenses • Schedules meetings between Staff, Doctors, Suppliers, Laboratories and medical Reps. • Maintain clinic's e-mail and monitor correspondence. • Coordinates with PRO for Trade License and Staff Visas New and Renewals. • Look after Staff Medical and Malpractice Insurance • Update clinic' staff' and doctors DHA License, Passport and Visa renewal and keep a Master Folder Show less

• insurance cordinator and billing officer

  • Sep 2015 - Jun 2018



MTBC

• Hospitals and Health Care
• 700 & Above Employee

• Research Analyst

  • Jan 2009 - 2011

  • Claim status eligibility and fee schedule.• Operate through process improvements in era such as RTA.• Data mining prompt payment initiative and meeting timely filing threshold.• Resolution of various complicated operational cases.• Responsible to make calls to insurance to resolve the provider setup related issue • To upgrade our practice management solution software with new technologies and according to customer complete satisfaction • Use and analytical skills to assess the economic performance of the client.• Communication with New Jersey (USA) staff regarding practice issue.• To import and export patient data from the different software.• Dealing financial matter • Data import and extract from the system • Set charges against ICD and CPT as per international standards• To coordination of all departments Show less

• Billing Specialist

  • Jan 2007 - Jan 2009

  • To perform medical billing for offshore doctors.• To keep informed of all changes in the rules and regulation of • Insurance carrier regularly Update to management.• To research analyze and prepare appeal when claims are rejected.• To tale conversation with insurance companies for claim fallow up.• To tale converse with clients doctor in U.S.A• To input patient demographic and insurance information • To handle insurance company payments rejection and send out patient statement • To Following up on all the AR claims and paper appeals when claims are rejected • To responsible for creating provider EDI,ERAand EFT setup with different insurance • To responsible to make calls to insurance to resolve the provider setup related issue • To search on setups of insurance to send electronic data • To make ERA setup of insurances • To submit claim to Govt and commercial insurances • To submit claim to insurances as electronic and papers Show less