Work Experience:
Raj Office Solution Pvt Ltd July2016 to Jan 2017 IGate global solutions Pvt Ltd
Location - Noida
Role –Associate(Medical Billing and payment Posting Executive)
⮚ Working with claim process- Change Health Care
⮚ Analyzing insurance information, performing data entry, insurance claims reimbursements
⮚ Co-pay- A deductible is the amount you pay for most eligible medical services or medications before your health plan begins to share in the cost of covered services
⮚ Co-Insurance - is a health care cost sharing between you and your insurance company. The cost sharing ranges from 80/20 to even 50/50. For example, if your coinsurance is 80/20, that means that your insurer covers 80% of annual medical expenses and you pay the remaining 20%.
January 2017 to July’2019 Capgemini Technology Services Pvt Ltd
Location: - Noida
Role: Medical Billing and payment Posting Executive)
Key Responsibilities
⮚ Processings a Hight qualified Professional in
⮚ ICD-9,CPT10,EOB & Medical Terminology
⮚ Analyzed,Researched and resolved claim issues.
⮚ Reviewed patient bills for accuracy and completeness,and obtained any missing information
⮚ online claim Submission
⮚ Capable o understand and complete medical billing related work.
⮚ Prepared monthly Performance Status Reports.
⮚ Working in excel as per data in filter, Pivot table & VLOOKUP
⮚ Collated, analyzed and documented company’s quarterly and half yearly performance details
⮚ Scrutiny the document and handling the request
⮚ Validating and sending request to the underwriters for further handling
⮚ Creating EOI (evidence of insurability) health questionnaire and approving it basis on the findings
⮚ Providing service (Demographic change) to end customer
⮚ Creating final letter and sending it the end customer
