I am working as a S.Prior Authorization Specialist in CareVMA Health where I am performing following tasks like:

Patient Calling for Verification of necessary information like Shipping address, medication, Dr. Office Visit, Primary, Secondary insurance, insulin & other medications etc.
Dr. Chasing to find out information regarding Sign Order from Dr. Office.
QC Calling & QC Clinicals & Authorization submissions over the Portals, Phone & Fax.
Imaging, Clinicals reading, Faxing, Portals, Calling, etc

     I am working as a TEAM LEAD in SMARTAX CONSULTANCY (USA Based) in Accounts & Taxation Department where I am performing professional tasks like:
  ACCOUNTING:

Enter financial transaction into accounting system, ensuring the accuracy and completeness of the information.
Reconciliaition of financial discrepancies by comparing and verifying data across different sources and identifying and rectifying erros.
Invoicing and Billing by preparing and sending to clients via software like ORACLE and monitoring accounts to ensure timely payments.
Month-End and Year-End closing activities including Journal entries, reconciling accounts, and generating financial reports.
Keeping the records as transactions to books of accounts for flow of cash, petty cash & update the records for creditor's & debtors.
Manual & Computrized transactions record keeping via excel & softwares.
Sorting & Finalizing of Daily, Monthly & yearly transactions made by client via Cheque & Card.
Record of Profits & Loss, Expenses, Balance Sheet, Income, Drawings, Personal expenses, fixed assests, PPP Loan forgiven etc.

   BUSINESS & PERSONAL TAXATION:
          BUSINESS:

Creation of Business Returns like Corporation, Sub-S Corporation and          Partnership including information (Name, Address, EIN, TIN, SSN, fiscal        year start & end dates, confidential checks remarks, partners,                      shareholders etc) via DRAKE Software 
Extension, Docusign, E-filing of all business returns.
Enter data from financial forms like Profit & Loss, Balance Sheet, General      ledger for all assets, expenses, fixed assets etc.
Final review of financial data.
Partners, Managing members, Directors data.
Reporting & drafting.

          PERSONAL:

Creation of Individal (1040) Return including information (Name & SSN No. for both Taxpayer & Spouse, Primary or Rental property addresses, Mortgages, expenses, incomes, property taxes as well as Dependents, California checking remarks etc.
W-2 wages, Dividends, Interests, Governemt funds, Non Employee Compensations, Energy Credits, Educational Credits, Child Credits.
Sch-C (SMLLC), Sch-A, income & expenses.
Adjustment & record of Stocks for participants & Non-participants companies. 
Federal Extention, Direct extension & Website extension, Docusign, E-filing for personal returns.
Email, coordination to clients.
FBAR, FACTA details.
Deposit & indirect deposit.
Energy statement.
Ef data basis & ACK code.
Uploading & Downloading Documents from client's profile Secure Portal.

          BOOK KEEPING:

Maintain records of financial transactions by establishing accounts, posting transactions etc.
Balances subsidiary accounts by reconciling entries.
Maintains general ledger by transferring subsidiary account summaries.
Balances general ledger by preparing a trial balance, P&L, Balance Sheet.
Reconcile & Update records by using PEACHTREE & QUICKBOOK softwares most usable in bookkeeping.
Sorting of Bank Statement & general entries in manual & report under software like ABLE TO ABTSRACT, Excel, QB2 etc.
Heads, Accounts, Memo sorting, Yearly, Quarterly, Monthly reports & soriting of balances.

I am working as a Prior Authorization Specialist in ActivekeySolutions where I am performing following professional & mendatory tasks like

Faxing & Submitting Authorizaton forms.
Fax & Submit to MDO Office - Precert Buy & Bill.
Fax & Submit to Specialty Pharmacy - Major Medical as well
Osteoarthritis of Knee, Heart & Injectables
Knee Injections - Measuring TKR
Clinical & Medical Necessity
Pre-Determination or Fax Coversheet for Medicaid & Commercials plans if Required

Medicare - Medicaid & All other Commercial Plans

Authorization Over the Fax, Portals, Calling & Appeal forms as well.

    I was working as an Prior Authorization Specialist at MEDATRON Medical Billing Co. where I was performing following professional & mendatory tasks like:

Finding patient's active Eligibility with all their Commercial & Local plan type like PPO, HMO under Insurances UHC, AETNA, BCBS, ANTHEM, HIGHMARK, HUMANA, CIGNA, WELLCARE & WELLMED etc.
Patient's active coverage & benefits for In-Netowork Providers & Out of Network providers.
Dedectibles, Co-Insurances & Co-Payments.
Vast Knowledge of using portals & CRM softwares like Brightree, NIKO, Zoho CRM, Noridian, My CGS, Availity, United Health Care, Health First etc.
Pre-Certification or Authorization via Portal like Availity, HealthFirst, UHC, Medicaid etc.
We do have the guidlines for Medicare & Medicaid.

   Following is the working for CGM, DIABETIC SHOE, BRACE, REFILLS:

CGM:       We provide Glucose Monitor & Sensors after over their ICT, HCPCS and Diagnosis Code to check & level the diabetes in patient's body.
BRACE:       We provide different products to patients prescribed & recommended by their physicians (PCP) for Back Bone, Ankles, Hip, Shoulders, Neck, Wrists, Knees over their ICT, CPT & Diagnosis Codes etc.
DIABETIC SHOE:       We provide Diabetic Shoes, Wheelchairs, wearing etc. which are more comfortable to use only for Diabetic patient's under special guidlines from their PCP's & Insurances.

   FOLLOW-UP upon submitted Pre-Certification Requests:

We take Follow-Ups status remarks after submitting Appeals, Pre-Certification / Authorizaton requests on behalf of the patient from their commercial, Local Insurances & PCP's offices on routine basis for the Approval, Denial & Voided status to forward those letters to billing department. 
This also helps us to verify that which lead will go for lead lost or for which we need to make an appeal after denial of request while the patient has supportive chartenotes.

     I worked as a CUSTOMER SERVICE REPRESENTATIVE in Mind-Bridge Pvt Ltd. under Internation campaign UKI (United Kingdom & Ireland) on Email Chat Support & Phone Support.     I was performing following tasks there:

Quick response to client to provide the best service mentioned in the given policy.
Met dailty target of tickets.
Daily Report to supervisor at shift end.
Read out policy of clients, Rider, Resturant etc.
Calling clients to provide authentic solvaiton of issues.
Chat with Customer via Portals & google to entertain them with the solution via Company or product policy.
Excellent proficiency & professional skills for using MS-Office, Portals, English etc.