priyadharshini P G

AR caller at Quintessence Business Solutions & Services
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Contact Information
us****@****om
(386) 825-5501
Location
Nagercoil, Tamil Nadu, India, IN
Languages
  • English Professional working proficiency
  • Malayalam Native or bilingual proficiency
  • Tamil Native or bilingual proficiency

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Credentials

  • Diploma in C programming
    CSC Institute
    Jul, 2017
    - Nov, 2024

Experience

  • Quintessence Business Solutions & Services
    • United States
    • Hospitals and Health Care
    • 400 - 500 Employee
    • AR caller
      • Aug 2022 - Present

      • Initiating telephone calls to US insurance companies requesting status of claimson patients accounts and take appropriate actions.• Contact insurance companies for further explanation of denials andunderpayments and taking appropriate action on claims to guarantee resolution.• Ensuring that the deliverable to the client adhere to the quality standards. andensuring accurate and timely follow-up where required.• Document actions taken in claims billing summary notes• Handling the pending claims for calling from the aging basket to make a physicalcall by following the international norms and applicable rules for confidentialityand HIPAA compliance.• Responsible for working on Denials, Correspondence, Rejections, and follow-upto accounts, making required corrections to claims• Understanding the client requirements and specifications of the project.• Ensuring each patient’s medical information is accurate and up-to date.• Maintaining Excel and Reports as per the company's regulation.• Worked with Different Clients and gained experience in International VoiceProcessing Show less

    • AR Analyst
      • Dec 2021 - Jul 2022

      • Prioritizing incoming authorization & referral requests according to queueurgency• Reviewing the patient’s clinical & chart documentation related to the servicesubmitted by the provider’s office• Obtaining and making follow up on authorization & referral requests from thepatient/payer through any methods depending on the payer’s policy• Responding to the payer’s clinical questions to be able to proceed with theauthorization & referral requests• Obtaining and making follow up payer’s peer-to-peer review requirements &send them back to the provider’s office for the actual initiation• Understand the client requirements and specifications of the project• Ensuring targeted collections are met on a daily/monthly basis• Process claims and ensuring collections are met• Analysing the rejected and denied claims and understand the reasons ofrejections and denial and reprocess the same for payment• Meeting the productivity targets of clients within the stipulated time• Ensuring that the deliverables to the client adhere to the quality standards• Preparing and maintain status reports Show less

Education

  • Maria College of Engineering and Technology
    Bachelor of Engineering, Computer Science
    2017 - 2021
  • St. Ursula’s girls higher secondary school
    High School, Computer Science
    2016 - 2017
  • St. Ursula’s girls higher secondary school
    S.S.L.C, Mathematics and science
    2014 - 2015

Community

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