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RESUME

DeepIKA Vallishatti
Call: 99876543210
E-Mail: dvallishatti@gmail.com
                                                                                                                                   

Career Objective:    

Seeking a quality environment where my knowledge and working skills can be enriched and shared for the benefit of self as well as the organization. Looking for the opportunity where I can improve my team working skills.

Educational Qualifications:

Course
College
Year
B.Com (Computers)
Osmania University
2001-04 March
Inter Mediate
Board of Inter mediate
Sai Teja Jr. College, Hyd
1999-01-April
S.S.C
Board of Secondary
Vidhya Convent & High School
1998-Mar


Experience Summary:


6.7 Years of Work Experience in RCM(Revenue cycling management) ( Charge Entry, Cash Posting, NO Pay Checks, Denials, ERA Payments) for Hospitals, Physicians Office.

 

Professional Experience:


A) PURKINJE as a Sr. Process Executive since November 2006 – till date.

Job Description:

  • Cash Posting:
Ø  Checking the posting volume of the work through lockbox setup (JP Morgan).
Ø  Creating batches as per lock box and posting payments, performing QA function and closing the batches.
Ø  Correction of ERA Postings.
Ø  Checking quality of posting if any error payment is posted.
Ø  Daily reporting to US office about posting status.

  • ERA Logs (Electronic Remittance Advice):
Ø  Checking ERA payment of insurance like Medicare and Commercial Insurance (BCBS) whether applied correctly or not.
Ø  Some ERA applied claims need to be manually corrected, such as cases like: Correction of Copay/deductible transfer/secondary ERA payment
Ø  Corrections of denials on auto adjusted payments.

  • Insurance Denials:
Ø  Working on regular mails, analyzing the denial EOBS according to the reason codes/explanations.
Ø  Ensuring the corrections and taking the appropriate actions, such as:
§  Re-Billing the primary
§  Dropping to secondary
§  Billing to patient.
§  Holding the claims.
Ø  Hands on experience of working with BCBS, Medicare, Medicaid & all other Commercial Insurances denials.
             
  • A/R(Accounts Receivables) Analysis:  
Ø  Downloading the AR Aging report, formatting and sorting it into the workable spreadsheet.
Ø  Analyzing the pending claims which were >60days and resolving the claim from the available channels, such as
·         Online claim status enquiry
·         Online eligible info
·         Submitting of medical records through web.
Ø  Generation of work order to follow-up team for insurance calling.
Ø  Check the claim status in different insurance website for payments details.
Ø  Retrieving the work done from the calling team and taking of the appropriate actions.
Ø  Making sure of decreasing the AR days and minimizing of the pending Accounts Receivables Wizard Report amount.

  • Coordination with the U.S. Billing Staff. 
  • Analyzes and researches reasons for payment variances.
Computer Proficiency:

Operating Systems
DOS, WIn9X, 2000, XP,Win2007
Packages
MS-Suite (Office, Excel, PPT)
Accounting Package
Tally 6.3
Billing Software’s
PAS-3, Misys Tiger & Clear practice EMR
ERP Application
SAP BI
Database
Oracle DBA
Language
SQL

Ø  Can able to learn any kind of software with in a stipulated time.
Ø  Typing skills of more than 45 WPM
Ø  Sound knowledge of internet concepts.

Personal Profile:
Date of Birth                            :                                   4th Jan, 1985.
Nationality                                :                                   Indian
Marital Status                          :                                   Married
Language Known                    :                                   English, Hindi & Telugu
Hobbies                                   :                                   Painting, Listening to Music.
Strengths                                :                                   Positive thinking, achieving targets


Date:  

Place: Hyderabad.                                                                                          (V.DEEPIKA)


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