Tele Executive - Glen Garry Marketing Solutions
(2020-09 - 2022-03)
- Cold/Warm Calling: Initiating outbound calls to prospective customers to pitch products or services.
- Sales Closure: Persuading customers to purchase, cross-sell, or up-sell to meet daily, weekly, or monthly quotas.
- Lead Generation: Identifying potential clients and generating qualified leads.
- Customer Relationship Management: Building rapport, answering questions about products, and handling customer complaints.
- Data Maintenance: Updating and maintaining client databases and records of calls in a CRM system.
- Following Scripts: Utilizing company-provided sales scripts to ensure consistent messaging
Patient AR Caller - QWay Technologies PVT LTD
(2022-03 - 2024-09)
- Claim Follow-up: Calling insurance companies to check status of unpaid, rejected, or denied claims.
- Denial Management: Analyzing, resolving, and appealing denied claims.
- Documentation: Updating patient accounts with detailed notes regarding the status and actions taken on claims.
- Reimbursement Maximization: Ensuring correct payments by reviewing Explanations of Benefits (EOBs).
- Communication: Interacting with insurers and, if necessary, patients or providers to resolve billing disputes.
- Compliance & Technical Knowledge: Adhering to HIPAA regulations, maintaining patient confidentiality, and using medical coding knowledge.
Senior Caller - Attorney - Centaur Billing
(2025-02)
- Legal Follow-up & Coordination: Regularly contacting law firms to track the status of personal injury or liability cases to determine when a settlement is expected.
- Lien Management: Filing and managing medical liens against pending legal cases to secure the provider's right to payment from any eventual settlement proceeds.
- Document Provision: Ensuring attorneys have all necessary medical records, itemized bills, and "Letters of Protection" (LOPs) required to include medical costs in the legal claim.
- Settlement Negotiation: Working with attorneys to negotiate final payment amounts when settlement funds are limited, often involving "pro-rata" distributions among multiple creditors.
- Verification of Legal Representation: Confirming that a patient is indeed represented by the attorney on file and obtaining formal letters of representation.
- Payment Tracking: Monitoring the distribution of settlement funds to ensure the healthcare provider receives their portion immediately after a case is closed.
- Account Documentation: Maintaining meticulous notes in the billing system regarding the attorney's name, case status, court dates, and any agreements made regarding the balance.
- Compliance: Adhering to HIPAA regulations when sharing sensitive medical information with third-party legal entities.
