Group Coordinator - KRAFT BPO SOLUTIONS PRIVATE LIMITED
(2020-01)
Supervised and led team of payment posters, ensuring timely and accurate processing of ERAs, EOBs, insurance payments, and patient payments across multiple specialties to enhance revenue cycle efficiency.
- Ensure claims are processed accurately and on time.
- Coordinate daily workflows and assign responsibilities to maintain posting deadlines and minimize unapplied cash.
- Performed quality checks to ensure accurate application of payments, adjustments, and contractual write-offs, maintaining compliance with payer contracts and HIPAA guidelines to mitigate financial risk.
- Analyze posting trends and discrepancies; collaborate with AR and denial management teams to escalate and resolve payment issues and rejections.
- Generated and reviewed daily, weekly, and monthly payment reconciliation and productivity reports, monitoring KPIs such as posting turnaround time and error rates to identify areas for improvement.
- Guide new team members, provide support, and ensure they understand billing systems and compliance rules
Senior Claim Processer Executive - ANNEXMED PVT. LTD.
(2017-01 - 2019-04)
- Post payment from check batches received from the Finance Department into the Document management system.
- Post all payments from patients and various insurance companies within a set turnaround time.
- Monitored and resolved patient account issues related to unapplied cash and credit balances, ensuring accurate financial records.
- Reconciled daily cash batch posting reports with bank detailed batch report to maintain financial accuracy.
- Identified payment refunds and generated corresponding refund requests for patient and third party payments, facilitating timely resolutions.
- Balance all posted batches by generating a batch summary report and reviewing for variances.
- Completion and distribution of daily cash reports, i.e., Daily Log and Month-to-Date Log.
- Understand EOBs (explanation of benefits) and adjustments.
- Completes tasks accurately, maintaining quality standards.
- Meet monthly closing deadlines as set by the company.
- Posting of all third party and/or patient payments to proper accounts.
- Completed additional tasks to support project objectives.
Claim Processer - INDUS BPO SERVICES PVT. LTD.
(2015-09 - 2016-12)
- Applied insurance payments following specific dates and EOB procedures, maintaining compliance and accuracy.
- Posted payments from check batches received from Finance Department into practice management system, ensuring accurate financial tracking.
- Daily reconciliation of cash batch posting reports to bank detailed batch report.
- Balanced daily worksheets by verifying data accuracy and completeness, contributing to reliable financial reporting.
- Trained new staff on company procedures and best practices.
Process Associate - HTC GLOBAL SERVICES PVT. LTD.
(2013-11 - 2014-12)
- Conducted quality control audits on vendor capturing files to ensure accuracy and compliance.
- Tagged and fielded XML and HTML content for streamlined data management.
- Entered data in client software and created XML format to ensure accurate data representation.
- Converted JPG format to XML format for improved data usability.
