Nirali Mandanka

Team Leader Medical Billing at CrystalVoxx Global LLP
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Contact Information
us****@****om
(386) 825-5501
Location
Ahmedabad, Gujarat, India, IN

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Experience

    • India
    • Information Technology & Services
    • 1 - 100 Employee
    • Team Leader Medical Billing
      • Nov 2017 - Present

      ↠ Team management and client communication.↠ Reviewed and monitored daily productivity and quality of work produced.↠ Assisted billing team in coordination of workflow to meet established department goals.↠ Assisted staff in processing billing and resolving billing delays.↠ Resolved issues associated with client requests & billing issues.↠ Assured billing department complies with appropriate state & client billing guidelines.↠ Ensured adequate training and resources/tools are available for employees to effectively manage the volume of work.↠ Supported management in the implementation of process and efficiency improvement.↠ Created monthly reports of department activities, issues, and accomplishments to provide to the director and manager. Show less

    • Assistant Team Lead
      • Nov 2020 - Nov 2021

      ↠ Audited team duties to ensure quality.↠ Managed Team members to complete tasks on time.↠ Reviewed processes and implement changes Update current desk manuals for training and outlining of clear processes Approve time off and Timesheet entries.↠ Research and correct claim submission reports↠ Coordinated efforts with A/R and Collections teams.↠ Pulled weekly controls report to present to upper management.↠ Assisted manager with creating team presentations on new systems and procedures, new programs, and ongoing training. Show less

    • Sr, Medical Billing Executive
      • Nov 2018 - Nov 2020

      ↠ Worked in different PMS, i.e., Chiro Touch, Office ally, Practice suit, DR Chrono, and Medisoft.↠ Oversaw daily Billing Department functions, including charge entry, posting, rejection, and payment rebilling.↠ Experienced billing for Mental Health specialties, Chiropractic specialties, and dental.↠ Implemented the setup of new practice management software.↠ Trained new employees on multiple medical billing practices.↠ Maintained and updated collections tracking spreadsheet to help organize payment information↠ Determined prior authorizations for medication and outpatient procedures.↠ Communicated effectively and extensively with other departments to resolve claim issues.↠ Located errors and promptly re-filed rejected claims. Show less

    • Jr, Medical Billing Executive
      • Nov 2017 - Nov 2018

      ↠ Gathered forms, copied insurance cards, and Action to collect patient information for billing and insurance filling.↠ Posted and adjusted payments from insurance companies.↠ Precisely evaluated and verified benefits and eligibility.↠ Accurately posted and sent out all medical claims.

    • India
    • Hospitals and Health Care
    • 700 & Above Employee
    • Medical Coder / Junior Associates
      • Nov 2015 - Nov 2017

      ↠ Perform Medical record Review to Retrieve documentation for specific information related to HEDIS clinical measures. ↠ Reviewed outpatient records and interpreted documentation to identify all diagnoses and procedures. ↠ Reviewed, analyzed, and managed the coding of diagnostic and treatment procedures contained in outpatient medical records. ↠ Risk adjustment coding on the basis of mapping codes from ICD-9 and ICD-10 books. ↠ It accurately selected proper descriptive code when more than one anatomical location was indicated. ↠ Applied official coding conventions and rules from the American Medical Association and Centers for ↠ Medicare & Medicaid Services to assign Dx codes. ↠ Resourcefully used various coding books, procedure manuals, and online encoders. Show less

Education

  • Government Engineering College,Gandhinagar
    Bachelor of Engineering: Biomedical
    2012 - 2015
  • Government Polytechnic for Girls
    Diploma Biomedical Engineering
    2008 - 2012

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