Damini Chache
Medical Billing Specialist | Insurance Coordinator | US Healthcare RCM
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نبذة
Medical Billing and Insurance Coordinator with 4+ years of experience in US healthcare Revenue Cycle Management (RCM), including medical billing, insurance verification, claims processing, accounts receivable, denial management, appeals, payment posting, provider enrollment, and credentialing. Experienced in managing outstanding claims, investigating payment delays, following up with insurance payers, resolving claim issues, and maintaining accurate account and provider records. Strong analytical, communication, problem-solving, follow-up, and time management skills
الخبرة
Sr. RCM Specialist and Insurance Coordinator | US Healthcare - Medcare Telehealth Inc - Dubai/UAE
(2026-01)
Drove medical billing, insurance coordination, provider enrollment, and core RCM workflows for US healthcare providers, keeping claims moving and payer issues from delaying reimbursement.
- Completed end-to-end provider enrollment with Medicare, Medicaid, and commercial payers to maintain active participation and reduce onboarding delays.
- Coordinated group and individual credentialing and enrollment requirements to support timely provider setup across payer networks.
- Submitted payer applications, tracked deficiencies, and closed missing requirements to move enrollments toward approval faster.
- Manage patient appointment scheduling, rescheduling, and provider calendar coordination to support efficient clinic operations and patient flow.
- Maintained accurate provider demographics, credentialing files, and enrollment records to prevent submission and payer data discrepancies.
- Verify and maintain accurate patient demographic and insurance information to support eligibility verification, billing, and healthcare service coordination.
- Resolved claim rejections and denials through submission follow-up and appeals, improving claim progression across the reimbursement cycle.
- Coordinate patient appointment inquiries, reminders, and follow-ups while maintaining HIPAA compliance and confidentiality of protected health information (PHI).
- Followed up with insurance payers on outstanding claims and payment issues to unblock delayed accounts and support faster collections.
- Verified eligibility and benefits upfront to catch coverage issues early and reduce avoidable claim processing errors.
- Posted payments and reconciled ERA/EOB details to keep account balances accurate and support clean downstream follow-up.
- Worked through payer portals and with insurance representatives to obtain claim details, clarify status, and resolve account issues.
- Supported day-to-day RCM operations by prioritizing outstanding accounts and sustaining timely follow-up across open claims.
Revenue Cycle Officer (RCO) - IKS HealthCare Pvt. Ltd - Navi Mumbai, India
(2024-01 - 2025-01)
Managed US healthcare medical billing and Revenue Cycle Management activities
- Performed accounts receivable follow-up on outstanding insurance claims and unpaid balances
- Reviewed claim status and investigated payment delays and outstanding accounts
- Contacted insurance payers to obtain claim updates and resolve billing issues
- Managed insurance denials and identified appropriate resolution and appeal actions
- Worked on physician billing and CMS-1500 claims
- Performed insurance verification and eligibility-related activities
- Maintained accurate claim and account documentation and coordinated with internal teams to resolve discrepancies
Senior AR Caller - Infinx Healthcare Pvt. Ltd - India
(2023-01 - 2024-01)
Managed AR follow-up for US healthcare providers, driving movement on open claims and unpaid accounts.
- Engaged insurance companies on outstanding claims, denials, and payment status to push unresolved balances toward closure.
- Investigated claim issues and worked with payers to clear barriers holding up reimbursement.
- Handled denial management by identifying next-step actions that moved claims closer to resolution.
- Reviewed claim status in payer portals and insurance systems to guide timely and accurate follow-up.
- Documented payer conversations, account updates, and follow-up actions clearly to maintain continuity across claims handling.
- Supported payment recovery efforts by following through on outstanding AR and keeping unresolved accounts active.
Insurance Coordinator / US Healthcare RCM - Bizmatics: A Harris Computer Company - Mumbai, India
(2021-01 - 2023-01)
Supported medical billing and insurance coordination work for US healthcare accounts, helping move claims through core RCM stages.
- Performed insurance verification, claims processing, and AR follow-up to reduce delays caused by incomplete billing or coverage details.
- Followed up with insurance companies on unpaid claims to advance open accounts toward adjudication and payment.
- Assisted with denial management by supporting claim review and next-step resolution efforts.
- Maintained billing and insurance records accurately to support cleaner follow-up and fewer documentation issues.
التعليم
Bachelor of Commerce - Commerce - Mumbai University (2024-01)