Ajay Negi

Highly organized and detail-oriented medical biller with more than 5 years of experience. Skilled in optimizing revenue cycle through accurate claim submission and maximizing reimbursements. I work well under pressure, thrive in fast-paced environments, and handle insurance complexities smoothly. Strong communication skills and a collaborative spirit. Looking for a rewarding position to contribute my expertise and support seamless financial management.

Senior Medical Biller - Green Apple Tech Systems - Noida

(2024-04)

• Ensure the clinic meets its revenue target.
• Handle Charge Entry, Payment Posting, Rejections and Denials.
• Prepare weekly reports for the clinic.
• Clean up pending accounts receivable each week.
• Validating insurance information and identifying the active insurance policy ID.

RCM Analyst - XpertDox - Noida

(2023-08 - 2024-04)

• Worked on ECW.
• Review the medical records to ensure accurate coding and focus on the E&M specialty.
• Validating insurance information and identifying the active insurance policy ID.
• Conducting claim scrubbing to ensure accuracy.
• Ability to clarify billing queries and resolve issues.

Medical Biller - Pacific an access healthcare - Noida

(2021-09 - 2023-07)

• Worked on eClinicalWorks and NextGen systems
• Managed daily operations of the Billing Department, handling tasks like charge entry, and payment posting.
• Specialized in billing for Dermatology and E&M.
• Analyzing and posting charges based on PDF and HL7 protocols.
• Managed average of manual 150 charge entries cases per day.

Accounts Receivable Analyst - R1 RCM - Noida

(2021-01 - 2021-07)

• Addressing and resolving different denials in the process.
• Communicate effectively with healthcare insurance representatives to resolve claim issues and gather necessary information.
• Additionally, transferred insurance claims and billing data to billing software, updated the software with changes, and maintained both paper (EOB) and electronic (ERA) copies of documentation.
• Obtained and reviewed referrals and authorizations for treatments, confirmed patient benefits and insurance eligibility, and adhered to all state program and HMO/PPO regulations and guidelines.

Bachelor of Arts - mass & communication - Delhi University (2020)

Senior Secondary - CBSE, Delhi (2017)

Higher Secondary - CBSE, Delhi (2015)