Vivek Jadhav

Experienced as Medical Biller along with experience in BPO

Experience:
I am total having an 5.3 Years of experience In which I worked for Medical Billing for 4.3 Years and in BPO sector worked for 1 year.

Specialties:
Medical Billing-
Charge Entry, Patient Demographics, Payment Posting, AR Followup, Capture In-Out Patient details, Denial Management, Website Verification.
BPO-
Worked for well-known network for Vodafone and Idea cellular Network in India.
Managed large amount of incoming calls by identifying and accessing customers needs to achieve satisfaction.
Build sustainable relationship and trust with customer accounts through open and interactive communication.
Provided accurate, valid and complete information by using the right methods/tools.
Handled customer complaints, Provided appropriate solutions and alternatives within the time limits; follow-up to ensure resolution
Kept records of customer interactions, process customer accounts and file documents by following communication procedure, guidelines and polices.
Declaration

Last Resume Update May 12, 2019
Address Dubai, United Arab Emirates
E-mail [email protected]
Phone Number 971555545714

Experience

SkyCliff It Pvt Ltd
Team Leader (Voice – Medical Billing)
Nov 2017 - Mar 2019

 Account receivable management for Hospital billing and professional billing cycle
 Guide team to reduce AR aging and optimize collections
 Manage day-to-day activities with team.
 Respond to clients on any process related queries and manage 1st level escalations thru Skype and Email.
 Identify trends within the portfolio to aid collections and improve the productivity.
 Perform quality check on the A/R follows or EOB denial analysis work done by the team before it is sent to the clients.
 Monitoring and managing workflow or daily targets to assure timely delivery of agreed SLA’s.
 Tracking and maintaining metrics for a variety of data includes attendance, productivity, etc
 Develop processes to improve productivity and quality of the team.
 Supervise and train junior staff or new trainees and encourage good A/R follow up skills and work ethic.
 Participate in the new pilot’s projects & work towards proper transition of knowledge to team.
 Work with managers to resolve any personnel problems or conflicts that may arise in the team.
 Insurance Benefits Verification for Hospital Billing (Ortho, Spine, Pain Management and Anesthesia).
 Insurance Auth for Same Specialties of Verification.
 Arbitration Process for unpaid Bills.

Sys Information
Senior AR Executive (Non Voice – Medical Billing)
Jun 2014 - May 2019

 Played a key role in posting the EOB’s (Explanation of Benefits) and ERA (Electronic Remittance Advise) for the payments received from insurance carrier to the accurate patient account.
 Calculate and post receipts to appropriate general ledger accounts and verify details of transactions, Such as funds/ payment received and total account balance.
 Used to work on rejections of a claim submission of a patient to the carrier/ Insurance company.
 Worked on Non Callable / Non AR Claims which we could take action through website.
 Handled claim transmissions. Such as Electronic filing, Paper Submissions and even worked on faxing the requested information from the carrier/ insurance in order to process the claim for the patient.
 Performed patient eligibility check through website. In order to get the claim processed without any more complications.

NS Info-tech
Senior Process Associates (Non Voice – Medical Billing)
Jun 2012 - Jun 2014

 Played a key role in reviewing the financial documents and patient demographics processed by the US doctors and worked as per the business rule defined by the Clients
 Performed regular standard tasks by creating the Charge Entry for the New/ Existing patient visits for the submission of the claims to insurance
3rd Page
 Responsible for accounting the payments received from the insurance company to the accurate patients account / case
 Maintained patient records, Patients demographics details, Collecting Insurance details and accounting EOB documents through the client application.
 Routine communication with supervisors relating to financial closer, issues and deliverables.
 Acted as team player by providing required inputs on time to enable the team to process the task efficiently.
 Handled claim transmissions. Such as Electronic filing, Paper Submissions and even worked on faxing the requested information from the carrier/ insurance in order to process the claim for the patient.
 Performed patient eligibility check through website. In order to get the claim processed without any more complications.

First Source Pvt. Ltd
Customer Service Associates
Mar 2011 - Mar 2012

 Worked as CSA for one of the well-known network for Vodafone and Idea cellular Network.
 Managed large amount of incoming calls by identifying and accessing customers needs to achieve satisfaction.
 Build sustainable relationship and trust with customer accounts through open and interactive communication.
 Provided accurate, valid and complete information by using the right methods/tools.
 Handled customer complaints, Provided appropriate solutions and alternatives within the time limits; follow-up to ensure resolution
 Kept records of customer interactions, process customer accounts and file documents by following communication procedure, guidelines and polices.

Education

KSOU University
Bachelor In Science
Jun 2012 - Jun 2015

Bsc In Computer Science

KLE Polytechnic
Diploma
Jun 2003 - Jun 2009

Diploma In Computer Science

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