Experience

KIMAYA MEDICAL SOLUTIONS PRIVATE LIMITED

• India
• 1 - 100 Employee

• AR Analyst

  • Nov 2022 - Present

  Kimaya Medical Solution Pvt. Ltd. , is a leading provider of revenue cycle management services. Whether you are a hospital, physician, billing company or a practice, we work on every step of the revenue cycle to reduce cost of collection, improve efficiency and increase cash flow. Job Description - Use coded data to enter charges for multiple specialties into RCx Rules, Advance Practice or other software applications used by RCM client Post private payments associated with superbills into MedEvolve application and/or other software applications used by RCM client Keep current on informational changes in billing procedures Know how to read and understand an EOB Meet benchmarks for data entry accuracy Communicate/answer questions regarding charge issues Understand RCM lifecycle, including the process of each claim and how this position directly impacts the process and other steps within the process Demonstrate understanding of billing procedures through verifying the accuracy of all patient encounter forms submitted for processing or billing, including modifiers, bundled codes, (globals, CCI edits, etc..) Other duties as assigned Show less



RX plus pvt. Limited

• Medical Billing Specialist

  • Aug 2022 - Oct 2022

  At RX plus pvt. Limited , we embrace each child’s differences and work with them to overcome their unique challenges. It is achieved by designing individualized comprehensive therapy programs with unique combinations of our wide range of speech, physical, occupational, and other innovative therapies Job Description - Perform pre-call analysis and check status by calling the payer or using IVR or web portal services. Maintain adequate documentation on the client software to send necessary documentation to insurance companies and maintain a clear audit trail for future reference. Record after-call actions and perform post call analysis for the claim follow-up. Assess and resolve enquiries, requests and complaints through calling to ensure that customer enquiries are resolved at first point of contact. Provide accurate product/ service information to customer, research available documentation including authorization, nursing notes, medical documentation on client's systems, interpret explanation of benefits received etc prior to making the call. Perform analysis of accounts receivable data and understand the reasons for underpayment, days in A/R, top denial reasons, use appropriate codes to be used in documentation of the reasons for denials / underpayments. Show less