Aminagpur _Vlog

Experienced TPA Insurance Coordinator and Consular, successful at managing high caseloads in fast-paced environments. Organized, driven and adaptable with excellent planning and problem-solving abilities. Offering 13.5 years of experience in Ophthalmology and willingness to take on any challenge.

TPA Insurance Coordinator and Consular - Eye Infirmary & Laser Centre

(2011-02 - 2021-06)

• Filed and tracked insurance claims and communicated claims status to patients.
• Operating CGHS Portal & ECHS Portal.
• Knowledge of Billing MOIL, WCL, Central Railway, South East Central Railway.
• Prepared insurance claims for submission to clearinghouses or insurance companies.
• Achieved revenue goals by managing collections and accounts receivables, referral process and insurance billing.
• Obtained prior authorization and precertification for outpatient procedures.
• Referenced monthly aging reports to follow up on unpaid claims and obtain maximum reimbursement.
• Obtained data such as patient, insurance ID, insurance provider to properly file insurance claims.
• Verified insurance and communicated coverage to staff and patients.
• Managed all members of insurance team

TPA Insurance Coordinator and Consular - Oke Eye Hospital

(2021-08)

Secondary School Certificate Examination

Higher Secondary Certificate Examination

Bachelor of Arts - Arts