Account Assistant
New Medical Center
Total years of experience :10 years, 10 Months
• Providing medical justification for the resubmission of rejected claims with Insurance companies through E-claim & uploading XML's in HAAD post office
• Coordinate with Insurance department, Receptionist, Billing clerk, Nursing & Doctor for effective function.
• Coordinating with Coders for correct billing as per ICD 9 and CPT 3 coding.
• Ensures accuracy of coded diagnosis, procedures & completeness of supporting documentation.
• Reviews patient file for re submission and follow ups for the incomplete or missing documentation and coordinates with the appropriate clinical or medical staff to ensure the documentation is completed properly.
• Analysis of patient's medical data for completeness, accuracy to provide correct justification for the Insurance Company.
• Maintains an average productivity rate of 50 to 100 rejected claims per day (case to case basis and ensures quality of each claims.)
• Ensures the appropriate coding of the primary & secondary diagnosis basing on the patient's file.
• Monitoring & ensuring that invoices are attached with all supporting documents i.e. E-claim form, COT, copy of lab reports. Radiology reports, discharge summary and all other related documents.
• Periodical outstanding statements sending to insurance companies for the payment follow up.
• Preparing and updating statement of account.
• Resolving billing discrepancies with Insurance companies.
• Matching of bills (i.e., cheque received from the Insurance companies tally the bill wise amount settled, pending claims take up with Insurance companies).
• Ensures and maintains confidentiality of patient’s protected health information in both electronic and paper formats.
• Ability to review claims to ensure appropriate completion of CPT, ICD-9, HCPCS, DRG and Pricelist.
• Performed related duties as assigned.
Co- Curricular activities: 1. Attended the National Service Scheme (NSS) camp for two years and also organized several Inter-collegiate competitions, programmes, seminars, guest lectures and events in St. Agnes College by NSS. 2. Won 2nd place in Marketing Event called as “STRATAGEM” held in St. Agnes College and participated in other such events and activities in the field of Finance and Human Resource. 3. Correspondent – Editor of “ELAN”, the official Newsletter of the Department of Commerce, St. Agnes College. 4. Was an active member in organising Second Nitte International Conference “Redefining the Roles of Business, NGO’s and Governments. A mission for a better Global Society” 5. Was a member in organizing “ETTIN” A National Level B – School fest conducted by our college Justice K.S Hegde Institute of Management.
Received Certificates from NSS (National Social Service)