Durga Devi

Detail-oriented Senior Medical Biller & Payment Poster with 4 years of experience in US Healthcare Revenue Cycle Management at Fidelitas Healthcare. I am seeking a challenging role where I can apply my expertise in claim processing, auditing, and revenue optimization to improve operational efficiency and maximize reimbursements.

Senior Medicall Biller - Fidelitas Healthcare

(2022-07)

Worked on healthcare RCM processes for 11 clients: MPAC, NWG, CTHP, APC, Shannon Dell, IDocsWeb, Supriya, Seegott, Pathway, CTMH, and Franke.

Performed Incomplete Patient Demographic

Entry, Charge Entry, Claim Submission, Fresh Claims Processing (NCC), Claim Rejection Handling, Claim Validation, Patient Validation, Statement Validation, Patient Duplicate Review & Merge, Patient Statement Processing, Return Statement Processing, Payment Posting, Reconciliation, correspondence and Denial Management. Ensured accurate claim processing, reduced claim rejections, and maintained compliance with client-specific billing requirements.

• Handled Revenue Cycle Management (RCM) activities for 11 healthcare clients, including MPAC, NWG, CTHP, APC, Shannon Dell, IDocsWeb, Supriya, Seegott, Pathway, CTMH, and Franke.
• Performed Patient Demographic Entry, Charge Entry, Claim Submission, Claim Validation, Rejection Handling, Denial Management, Statement Processing, and Duplicate Patient Record Review & Merge to ensure accurate and timely claim processing.
• Executed EOB and ERA Payment Posting with 99% accuracy. Verified adjustment codes, Co-pay, Co-insurance, Deductible.
• Performed Payment Reconciliation of posted payments with bank deposits and system reports. Maintained zero variance.
• Handled Insurance Correspondence for underpayments, appeals, and insurance queries to recover revenue.
• Analyzed Payment-related Denials and coordinated with billing team for resubmission.
• Performed Demographic Entry, Billing, and Payment Posting with HIPAA compliance.

B.Sc - Nutrition and Dietetics - Quaid-E-Millath College (2016 - 2019)