Balaji Muthukrishnan

Hi team, thank you for opportunity. I have 10years experience in Medical Billing for hematology and oncology process. United States Doctors outsourcing to india. Very well knowledge Excel an vlookup formulas.

Groups Coordinator, 06/2012 to 08/2022

SCYO DECISION SERVICES PVT LTD - Chennai (INDIA), TamilNadu

Process: HEMATOLOGY and ONCOLOGY

Revenue Cycle Management (RCM) Medical Billing (United States)

Role

 Responding to emails in timely manner.

 Error trend analysis.

 Doing Root Cause Analysis for valid retro's and providing action and mitigation plan to avoid retro impacts in future.

 Verified Authorization for Drugs Codes and Tried to get retro

Authorization to Authorization Department.

 Training new folk's into team.

 Doing compliance audit.

 Tracking individual's performance based on metrics Production and

Quality.

 Monthly discussion with client IT team for enhance in software.

Responsibility

 Doing month-end report for overall practice and individual provider-

wise Collection and Charge reports.

 Doing daily basis client requested reports received thru Email.

 Analysis for Overall denial claims (ERA & Scan Files & Fax denial &

Email based denials).

 Worked in Correspondence claims on daily basis.

 Working in multiple clients Payment Posting.

 Patient Payment Posting (Credit card & Check & Cash Payment).

 Audit for Refund Claims (Overpayment & Duplicate Payment & Exceed payments).

 Worked denial management.

 Audit for some clients and Refund Process.

 Prepared Appeals and Faxed and Mailing address (Authorization & TFL

& Refund & Units exceeds & Par and Non-par providers & Incorrect billing appeals).

 DDE Enter for Medicaid Claims.

 Claims & Appeal updated Status Checking thru insurance websites.

 Working on Clients Remote Desktop directly.

 Worked in Rejection on daily basis.

Experienced in Medical billing software's:

 Medical Manager

 E-clinical

 Intergy

 Epic

 Iknowmed

 Centricity

 Genius Doc