Revenue Cycle Management
SEHA
Total years of experience :7 years, 1 Months
prior Automatic Submission.
•Working on Oracle Receivable module and doing reconciliation, Create Accounting, invoice and receipt, Remittance, Create Customer, Oracle testing, Monthly Statement/ closing, Booking of VIP Room,
•Updating Daily work productivity, Attaining RCM meeting and briefing and discussing the challenges.
•Update day to day pre authorization services and approvals
•Correcting CT/MRI CPT Code according Authorization.
Solving Shafafiya Errors/HAAD adjudication.
•Sorting and fixing Automatic Generated Hold on Encounter which required pre authorization.
•Informing MNAC Denied claim to Insurance Team through E-mail entire Billing and coding staff to Insurance Query.
•Reviewing & Sorting denied/Hold/Pending/Avoided encounter with Excel Pivot table, VLOOKUP, Match and other commands. Changing Encounter Type, and deleting no show billings.
•I am using my coding verification knowledge to solve Denied pending review, and for MNAC Denied, and updating principle diagnosis and submitting the claim
•Update Encounter’s CPT/CDM codes according to Physician documentation and enter correct administration CPT code to prior Claim submission, reconciling OPD bill summary, co-insurance, co-payment or deductible amount.
•Claim Resubmission with correct Payer ID, finding an error for denial cases(Shafafiya Error) and pending cases and sorting it to resolve according to priorities.
•Checking Encounter information and correcting it according to Emirates ID, Insurance Card & Insurance Portal.
•Preparing refund request and making it stress free for patient with line manager approvals.
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Worked With Medeor 24 X 7 Hospital, Dubai (JCI Accredited Hospital)as Billing
Of Business Administration (Finance)from Devi Ahilya University Indore(2016). Course Content :- Working Capital Management, Sources Of Finance, Fund Flow Statement, Cost Capital, Security Analysis, Derivatives and Risk Management.