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Shalini E
@shaliniroman
Senior Denial Mangement
India
Inglese, Tamil
Chi sono
I am certified medical billing and Accounts receiveable specialists with over 3 years of experience in AR Denial management, handling medicaid , medicare and commercial insurance claims for US healthcare system. I had worked extensively with CMS-1500 forms ensuring HIPPA and payer guidelines. I help you to reduce the denial rate and improve the revenue flow for US Medical billing groups. familiar with tools like Availity, Trizetto, Navinet, MS Excel etc.
Competenze
Shalini E
offline •
Tempo di risposta medio: 17 ore
Consulta i miei servizi
Assistenza clienti
I will analyze US healthcare data and work for group practicioner
Modello statistico e analisi
I will do data anlysis and create predictive models to support business decisions
Esperienza lavorativa
Cognizant
Full time • 2 yrs 11 mos
Senior Client support executive
Jun 2021 - Jul 2022 • 1 yr 1 mo
• Managed end-to-end Account Receivable for US Clients. • Reviewed and processed unpaid and denied claims, recovering revenue for healthcare providers through detailed analysis. • Improved revenue through proactive followups and reconciliation process. • Managed medical billing invoices for Physicians, conducting outbound calls to insurance companies in US to ensure timely reimbursement. • Resolved Billing issues through effective stakeholder communication. • Maintained comprehensive reports and monitored performance metrics by using Microsoft excel, developing pivot tables and charts to understand the business flow.
Junior AR Executive
Aug 2019 - Jun 2021 • 1 yr 10 mos
• Coordinated with US Clients and stakeholders to resolve billing issues. • Followed up on outstanding invoices to ensure timely payments. • Maintained detailed records of invoice status and quality, updated AR reports, attended weekly client meetings and strictly followed SOP guidelines. • Supported process improvements to reduce outstanding receivable days. • Conducted account reconciliation and claim resolution.
