Laxmi Shahani

To work in a challenging and satisfying work position, in a dynamic and growth oriented environment, which will allow me the opportunity to learn and grow continually. Over all experience in Medical Billing Process for about 9 Years. Experienced in DME, Pathology, Chiropractic & Ophthalmology process.

Auditing accounts to avoid / reduce chances of escalations. Feedback session with team members for quality & process related queries. Team focuses on the process to achieve the target with quality.

AR Follow-Up Analyst - Exprimunt Medical Billing - Work From Home

(2025-09)

• Handling claims with different Insurances
• Follow up on unpaid claims as well as old claims
• Verification of insurance (Medical as well as other insurances)
• Knowledge with insurance authorizations and denials
• Correct denied claims with correct information and re-submit claims
• Submit electronic claims (primary insurance or secondary insurance)
• Ensure claims are submitted within filing limit

AR Follow-Up Analyst - ClinicMind Application - Work From Home

(2024-12 - 2025-08)

Worked as AR Follow up Analyst (WFH) from 2nd Dec 2024 to 13th August 2025

• Handling claims with different Insurances
• Follow up on unpaid claims as well as old claims
• Verification of insurance (Medical as well as other insurances)
• Knowledge with insurance authorizations and denials
• Correct denied claims with correct information and re-submit claims
• Submit electronic claims (primary insurance or secondary insurance)
• Ensure claims are submitted within filing limit

Subject Matter Expert (SME) – UnitedHealthcare - Wipro - Kolkata, West Bengal

(2021-10 - 2023-08)

• Managing team strength of 20 people and responsible for handling team quality
• Preparing minutes of meeting as discussed on updates, progress, issues and improvements plan
• Conducting daily quick hurdle with all the employees
• Mapping client's need, identifying improvement areas and implementing measures to maximize client satisfaction levels
• Managing the team for achieving quality; providing first line assistant to the team by answering to their process queries & resolving issues and ensuring minimum TAT to avoid getting an error
• Training & monitoring the performance of team members to ensure efficiency is meeting within deadline
• Trained new team members on system and process to keep team operations productive and efficient
• Problem solved DFE / AR questions on behalf of internal team members

Medical Billing Executive – UnitedHealthcare - SunKnowledge Services Inc. - Kolkata, West Bengal

(2014-12 - 2021-05)

• Taken inbound calls daily (40-50) for healthcare process (till Nov'15)
• Taken inbound calls regarding patient eligibility, authorization status and claims status
• Informed about the appeal process in case the claim or authorization gets denied
• Informed about timely filing to the providers for initial claim submission as well as reconsideration claim submission
• Handled claims with different Insurances
• Ability to read and interpret EOBs
• Follow up on unpaid claims as well as old claims
• Setting up new patients accounts
• Verification of insurance (Medical as well as other insurances)
• Knowledge with insurance authorizations and denials
• Correct denied claims with correct information and re-submit claims
• Submit electronic claims (primary insurance or secondary insurance)
• Verifying Eligibility for Insurance, entering patient demographics
• Enter data of orders into the system for DME process
• Expertise in taking follow up on a daily basis
• Ensure claims are entered and submitted within filing limit
• Re-submit insurance claims as necessary. Knowledgeable in timely filing restrictions
• Insure accuracy of insurance claims. Verify correct ICD-10 and CPT codes for a variety of specialties
• Accurately apply payments to patient account
• Excel experience
• Insure office practices are in compliance with HIPAA regulations

B.A - Calcutta University (2008)

Higher secondary - West Bengal board of Higher secondary education (2005)

Secondary Education - West Bengal board of secondary education (2003)