Pooja Ramesh
Chennai,Tamil Nadu
Summary
Developed strong collaborative and multitasking skills in fast-paced environment, ensuring efficient handling of various tasks. Transitioning into new field with focus on leveraging problem-solving capabilities and adaptability. Seeking opportunities to apply and grow versatile skills in dynamic and supportive setting.
Overview
1
1
year of professional experience
Work History
Associate
Guide House
09.2023 - Current
- Managed patient information and medical records, ensuring accuracy and compliance.
- Resolved denied claims by communicating with insurance providers and resubmitting claims for reimbursement.
- Led appeals process for denied claims, securing successful reimbursements.
- Analyzed Explanation of Benefits (EOB) to ensure correct billing.
- Prepared billing statements and verified diagnostic coding for accuracy.
- Ensured compliance with standards for safeguarding patient health information.
- Delivered accurate and timely charge submissions.
Verified patient insurance eligibility to facilitate claims processing. - Developed and executed strategic plans for financial operations.
- Established and monitored coding procedures, ensuring accurate internal reports.
- Ensured timely payments from insurance providers by submitting accurate claims.
- Reduced claim rejections by implementing quality control measures.
- Resolved complex issues, improving customer satisfaction and service quality.
- Trained new staff on medical billing software, increasing department efficiency.
- Built strong relationships with payers to expedite claim resolution.
- Managed outstanding patient balances and initiated collections to improve recovery.
Education
Master of Science - Clinical Nutrition
Sri Ramachandra Institute of Higher Education
Chennai08-2023
Bachelor of Science - Clinical Nutrition & Dietetics
Ethiraj College For Women
Chennai03-2017
Skills
- Insurance verification
- Denial management
- Medical coding expertise
- Conflict resolution techniques
- Computer skills
- Teamwork and collaboration
- Multitasking and organization
- Extensive problem solving
- Highly adaptable & Passionate Leaner
Languages
English
Tamil
Telugu
Interests
Acrylic Painting
Resin Art
Craft Work
Timeline
Associate
Guide House
09.2023 - Current
Master of Science - Clinical Nutrition
Sri Ramachandra Institute of Higher Education
Bachelor of Science - Clinical Nutrition & Dietetics
Ethiraj College For Women
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