Working on multiple billing Softwares. Office Ally, Modmed and p3merge.

Senior RCM AnalystMoved to Product improvement team, worked to improve the overall Product and RCM cycle.Working directly with Expert System team, adding scrubber rules in Expert System. Analysis of denials or rejections and add rules based on state or practice guidelines. Reporting of application issues and bugs. Worked on crossover claims process automation when secondary plan is not available in demos. Work on PowerBI dashboard.Complete billingWorked on complete billing clients 6 months, including follow ups, denials and rejections.Production Team LeaderAs a production Team Lead, managed charges of 55 clients with 13 members team. Training to new people. Also add rules related to charge verification prior to submission in order to improve first pass ratio. During this period I also worked on insurance calls for 10 months in order to verify patient eligibility before claim submission.Below are the expertise.1- Entering Patient Demographics from Scans.2- Add patient insurance Primary, Secondary and Tertiary3- Charge Creation Quick Charge, eSuperbill, Creating Provider notes from scans4- Claim Submission Correct + Timely5- Verification of claim\'s coding prior to submission to insurance. Ensuring first pass ratio6- Patient\'s eligibility verification as of the DOS on which services are rendered by the Doctor via system, insurance webportal and inaurance calls7- Payment posting ERAs, EOBs and Follow UP8- Denial Processing9- Patient payment posting.10- Verification of patient statement in order to avoid incorrect patient billing(4 years)As An Assistant Accounts Management Executive worked on charges submission, fixing scrubber errors, verification of eligibility prior to submission. Payment posting, EOBs, rejections and denials processing, medical records submission, Claim submission through insurance we portal. (3 years)

Managing Accounts