Medical Billing Executive - Infomatec Pvt Ltd (MTBC)
(2021-01 - 2023-12)
- Medical Coding & Terminology
- Proficient in ICD-10, CPT, HCPCS codes
- Strong grasp of medical terms and procedures
- Billing & Claims Processing
- Create, submit, and track insurance claims
- Handle denials, rejections, and appeals efficiently
- Insurance & Payer Rules
- Knowledge of Medicare, Medicaid, and private insurance guidelines
- Understands EOBs and billing regulations
- Software Proficiency
- Skilled in EHR and billing systems (e.g., CareCloud Websoft, AdvantX, Office ally, Advancemd, Cerner works SPM)
Lead AR Specialist - Infomatec Pvt Ltd (MTBC)
(2023-01 - 2025-12)
- AR & Denial Management: Handle aging, denials, appeals; reduce DSO.
- Insurance Expertise: Strong knowledge of Medicare, Medicaid, and commercial payers.
- Team Leadership: Train, supervise, and track performance of AR team.
- Analytical Skills: Identify revenue gaps; use reports to improve collections.
- Software Proficiency: Skilled in EHR/billing systems (e.g., Epic) and Excel.
- Compliance: Ensure HIPAA and payer regulation adherence.
- Team Supervision: Manage and guide billing staff to meet targets.
- Revenue Cycle Knowledge: Oversee end-to-end billing, AR, and collections.
- Process Improvement: Optimize workflows to reduce denials and delays.
- Compliance: Ensure adherence to HIPAA and payer rules.
- Reporting & Analysis: Monitor KPIs, generate reports, track performance.
- Problem Solving: Resolve complex billing and claim issues.
- Communication: Coordinate with clients, providers, and insurance companies.
Assistant Manager - EverestAR
(2025-01)
- Team Supervision: Manage and guide billing staff to meet targets.
- Revenue Cycle Knowledge: Oversee end-to-end billing, AR, and collections.
- Process Improvement: Optimize workflows to reduce denials and delays.
- Compliance: Ensure adherence to HIPAA and payer rules.
- Reporting & Analysis: Monitor KPIs, generate reports, track performance.
- Problem Solving: Resolve complex billing and claim issues.
- Communication: Coordinate with clients, providers, and insurance companies.
