Krishna C.

1 Medical Billing Officer Managing completed demographic & medical histories, billing forms and records necessary for the reimbursement of doctors for their services to patients. Determine amounts of coverage, the appropriate co-pay to charge and the most cost effective type of medical care. Responsible for preparing & submitting claims in an accurate & timely manner to Medicare, Medicaid, HMO, third party insurances and patients. Evaluate & process explanation of benefits from all insurance carriers. Resubmit denials & prepare appeals. Edit and enter charges from encounter forms. Process paper and electronic insurance bills for submission and subsequent collection in a timely manner. File insurance encounter forms and maintain past years' files. Assist billing manager with claims, follow-up and collection activities, including pulling necessary files and making copies as needed. 2 Team Member Working in shift hours & 5 days a week. Carried out R & D of the documents viz. mortgage, leases, deeds etc., of our abroad client which were unable to be processed and were kicked off by software. Capturing various data’s and processing the same. Achieving the target assigned per hour along with accuracy. Exploring various counties Governmental web sites by legal authorization and searching, scrutinizing, segregating, confirming, various aspects like legal updated data’s, parties name, case number, etc. Also worked for Image indexing, conversion. Downloading work involved authorized log-in acquired from the counties whose work was to be carried out and accessing the web sites of the same counties. Downloading various types of documents images in batch wise pattern and were submitted for further process. Image indexing work involved processing various batches of different counties by assigning numbers, arranging in a pattern the images of the same batches maintaining 100% accuracy. Since January 2007 I was assigned a team of 6 members with same work and was promoted to Assistant Team Leader. My responsibilities included assigning the batches to Team members, solving queries, troubleshooting, etc. Also maintaining various xls worksheets, reports, day to day work output and input sheets, reporting the my team leader the progress of the work, discussing the new aspects arising during the process of new counties. Handling the same feedbacks and position of the work carried out by my team to the in charge of the next shift. Every time achieved double the target assigned to me along with above said additional the responsibilities.