Process Associate L3 - Ifedora Services Pvt Ltd
(2023-08 - 2026-07)
- Strong understanding of all downstream revenue cycle offices i.e. RCM process and Operations Management
- Medical Billing & Coding
- Prior Authorizations
- Payer Credentialing
- US Healthcare Insurance Verification
- Charge Entry & Payment Posting
- Denials Management
- Accounts Receivable (AR) Follow-ups
- Ensure HIPAA compliance and process efficiency.
- Familiar with denial and remarks codes and assignment of AR appropriately.
- Clear understanding on: ERA & EOB. ERA codes. Insurance types. Balance billing. Co-ordination of Benefits.
- Performs check marks before escalations to onsite.
- Trained new Junior for AR denial process and then understand the denials and actions accordingly.
- Understands the eccentricities of various provider specialties.
- Have excellent verbal and written communication and presentation skills.
- Proficient in Excel and PowerPoint to create weekly reports, dashboards for both internal management and client.
- Strong people management skills with fair understanding of required techniques to create win-win situation.
Customer Service Representative - WNS
(2023-02 - 2023-07)
- Worked in flight ticketing department.
- Helped customer to know complete flight information related to the booking.
- Assist customer to change booking as per their requirement.
- Knowledge of GDS.
AR Caller-US Voice Process - VEE Technology Pvt limited
(2021-12 - 2023-01)
Worked in Radiology Authorization Department for MSKCC NYC Project. US Voice Process.
- Speak with US Insurance representatives, solve the problems and get Authorization.
- Fax clinical information, take follow up of pending case, get retro auth, etc.
- Initiating cases via software( newly launched) as well as manually.
- Documenting all in sheet, raising proper flags, working as per priority accounts.
