Ankit Nehra
Account Manager (RCM AR) at Yosa Technology Solutions Pvt Ltd- Claim this Profile
Click to upgrade to our gold package
for the full feature experience.
Topline Score
Bio
Credentials
-
HIPAA Associate (HIPAAA)
HIPAA ExamsNov, 2019- Nov, 2024
Experience
-
Yosa Technology Solutions Pvt Ltd
-
India
-
IT Services and IT Consulting
-
1 - 100 Employee
-
Account Manager (RCM AR)
-
Mar 2019 - Present
* HIPAA compliance certified Executive. * Highly skilled in insurance & provider credentialing work with over 3 years of experience. * Worked on multiple Medical claim projects with insurances in previous billing organization. * Expert in reviewing and validating accuracy of charges, including dates of service, services provided, location, and patient demographics. * Highly skilled in examining patient’s encounter forms to verify diagnosis codes, and reconcile 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 claim with 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 and Practice Fusion. * Expert in patient payment posting by recording cash, checks, and credit card transactions. * Experience of working with medical payers including Medicare, Medicaid and commercial insurance. * Demonstration of skills in MS Office (Word, Excel, PowerPoint, Access, Outlook). * Expert in generating monthly report to check claims to be processed on time and process correctly. Show less
-
-
-
Advantech Surat
-
Surat Area, India
-
Senior Process Associate
-
Feb 2015 - Mar 2019
• 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
-
-
Education
-
2017 - 2020
Kurukshetra University
Bca, Computer/Information Technology Administration and Management
Community
