Experience

HealthRecon Connect LLC

• United States
• Hospitals and Health Care
• 500 - 600 Employee

• Senior Operations Analyst

  • Apr 2023 - Present

• Operations Analyst

  • Aug 2021 - Apr 2023

  • Reviews and analyzes “Explanation of Benefits” (EOBs), and payer correspondences to identify denials that can be appealed. Perform denials analysis to reduce controllable rejections. Perform deep-dive analysis to find solutions that can benefit multiple specialties.• Contact clients who have failed to pay their claims through calls and emails and eventually personal visits and stay abreast of group payer contracts, payer policies, payer plans, and member benefits. Conduct audits and analyses, and identify revisions and changes that impact payers. Prepares a communication plan for audit results and information discovered to relevant payers. Participates in developing best practices for relevant changes.• Applies knowledge of coding including use of billable CPTs, diagnosis codes, modifiers, place of service codes, and source codes to perform an in-depth analysis of root cause issues. • Monitor ongoing performance of Revenue Cycle results through the use of key operating indicators (KOI). Use data to identify trends and gaps. Uses dashboards and reports to monitor keep performance indicators of revenue cycle workflows and to ensure a holistic view of the revenue cycle.• Cultivates effective collaborative relationships with academic departments and other subject matter experts (SMEs) to seek resolution of issues identified through monthly monitoring of KPIs.• Identify trends, and carrier issues relating to billing and reimbursements. Report findings toTeam Lead and/or Supervisor and Communicate daily with internal and external customers via phone calls and written communications.• Attend provider meetings/workshops when needed and making Sales Report on weekly basis. Show less

• Trainee Operations Analyst

  • Aug 2020 - Aug 2021

  • Following up with insurance to collect payment with Medicare, Medicaid, Medicaid Managed Care, and Commercial insurance companies on unpaid insurance accounts identified through aging reports.• Analyzing a denial of a claim and fixing it in an accurate manner and process refund requests.• Responsible for correcting, completing, and processing claims for all payer codes.• Communicate with billing and credentialing coordinator to identify and resolve audit reviewissues.• Process billing calls and questions from patients and third party carriers. Show less



The Maarii Boys

• Founder

  • Jan 2022 - Present

  Event planner by day, party thrower by night. Based on Tamil Cult ! Event planner by day, party thrower by night. Based on Tamil Cult !



Hollywood Consultancy (PVT) Ltd.

• Sri Lanka
• Outsourcing and Offshoring Consulting
• 1 - 100 Employee

• Telemarketing Executive

  • Feb 2020 - Jul 2020

  • Communicated with customers to ensure product understanding, answer questions, and facilitate conflict resolution. • Maintained a clean and orderly store by continuously organizing displays and proactively addressing areas that needed restructuring. • As a telephone sales executive you’ll be expected to sell the products and services of the company you work for by calling prospective clients. You may also be carrying out market research, so you won’t necessarily be stuck to the phone. • Working within a team of other sales executives you’ll be set targets and strategies by the team supervisor. Your day will be mostly spent calling buyers and persuading them to either purchase a product, trial a service or accept a visit from another member of the sales team. Show less



Daraz

• Bangladesh
• Retail
• 1 - 100 Employee

• Intern - Administration

  • Oct 2019 - Jan 2020

  • Administrative Assistants provide support to managers, other employees, and office visitors by handling a variety of tasks in order to ensure that all interactions between the organization and others are positive and productive. • Handling office tasks, such as filing, generating reports and presentations, setting up for meetings, and reordering supplies. • Providing real-time scheduling support by booking appointments and preventing conflicts. • Making travel arrangements, such as booking flights, cars, and making hotel and restaurant reservations. • Screening phone calls and routing callers to the appropriate party. • Using computers to generate reports, transcribe minutes from meetings, create presentations, and conduct research. • Maintain polite and professional communication via phone, e-mail, and mail. • Anticipating the needs of others in order to ensure their seamless and positive experience. Show less



STARTEK

• China
• Appliances, Electrical, and Electronics Manufacturing
• 1 - 100 Employee

• Data Entry Operator & Service Data Analyst

  • Dec 2016 - May 2017

  • Entering customer and account data from source documents within time limits. • Compiling, verifying accuracy and sorting information to prepare source data for computer entry. • Reviewing data for deficiencies or errors, correcting any incompatibilities and checking output. Apply data program techniques and procedures. • Generate reports, store completed work in designated locations and perform backup operations • Scan documents and print files, when needed and respond to queries for information and access relevant files. Show less