SAP
Hi, I’m
ASHA THOMAS
BILLING AND AUDIT
Abudhabi
Summary
Detail-oriented healthcare professional with over 8 years of experience in medical billing, claims management, and revenue cycle operations. Proficient in physician, hospital, pharmacy, and laboratory billing with 6 years of experience in the U.S. healthcare industry and 2 years in the UAE healthcare setting. Expertise includes managing claims denials, appeals, and ensuring adherence to healthcare regulations and payer guidelines. Skilled in identifying trends, providing actionable solutions, and improving revenue recovery processes. Seeking a role in denial prevention, claims management, and revenue cycle operations in a dynamic healthcare organization.
Overview
8
years of professional experience
5
years of post-secondary education
5
Certifications
2
Languages
Work History
Burjeel Day Surgery Center
Billing and Audit
04.2023 - Current
Job overview
- Submit and resubmit claims electronically (E-Claim and Direct submission) to ensure compliance with payer regulations and facility pricing structures
- Perform HCPCS billing and coding with advanced accuracy, adhering to insurance and government policies
- Track and manage patient prescription records, identifying discrepancies and implementing corrective actions for inaccurate claims
- Coordinate with internal and external teams to resolve clinical claim denials, ensuring proper documentation and supporting appeals
- Perform eligibility verification for multiple payers including Daman, Thiqa, and NAS
- Facilitate communication with insurance companies to resolve outstanding claims and ensure timely payments
- Create duty schedules for pharmacy insurance team members
- Monitor bounced prescriptions, taking corrective actions to ensure accurate resubmission and payment processing
- Promote high levels of productivity and accuracy within the team
- Monitor waiting times and implement measures to control and reduce them
Cascade Revenue Management Pvt. Ltd
Senior Accounts Receivable Associate
08.2020 - 12.2022
Job overview
- Specialized in claims management, denials, and appeals for U.S.-based lab billing
- Analyzed denied claims, trends, and payment issues, ensuring timely resolution and follow-up
- Created and sent appeals for denied claims via fax or portal, contributing to improved claim resolution
- Led initiatives to reduce AR aging by resolving claim issues and following up with insurers
WAVE Online Infoway Pvt. Ltd
Senior Accounts Receivable Associate
10.2018 - 05.2020
Job overview
- Managed claims processing, payment posting, and appeals for insurance and self-pay accounts in U.S.-based physician center billing
- Led efforts to reduce AR aging by resolving claim issues and following up with insurers
- Identified and resolved underpayments, denials, and rejections, enhancing the overall billing process and revenue cycle
- Ensured compliance with payer guidelines, focusing on revenue recovery through timely claim processing
Guidehouse India Private Ltd
Accounts Receivable Associate
12.2016 - 10.2018
Job overview
- Verified patient eligibility and coordinated verification with insurers
- Ensured billing accuracy and compliance with government and payer guidelines
- Followed HIPAA regulations to maintain patient confidentiality
- Communicated with insurance companies to secure timely payments and resolve denials
- Posted payments from insurance companies and patients with excellent accuracy
- Reduced AR aging report pages from triple to single digits through diligent research
- Researched and resolved claim rejections, underpayments, and denials
- Processed claims and appeals timely via payer portals
- Followed up on insurance denials, maintaining quality standards
Education
Bharathiar University
Master of Business Administration (MBA) from Human Resource
01.2017 - 01.2019
St. Cyril's College
Bachelor of Commerce from Computer Applications
01.2013 - 01.2016
Skills
Medical Billing & Coding (HCPCS, ICD-10-CM, CPT)
Revenue Cycle Management
Claims Denial & Appeals Management
Compliance & Regulatory Adherence
Data Analysis & Financial Reporting
Payer Reimbursement & Eligibility Verification
Strategic Planning & Process Improvement
Familiar with Medical Terminology
AR Aging Reduction
Teamwork and collaboration
Multitasking Abilities
Certification
Certified Professional Coder (CPC), AAPC, 09/30/20, Ongoing
Professional Development
- Caring for LGBTQI+ Patients
- Introduction to Language Access Plans
- Clinical Claim Denial Management
- Training and Development in Medical Coding and Billing
Software
Matrix
Meditech
Labgen
Allscripts
MS Excel
MS Word
Languages
English
Malayalam
Tamil
Timeline
Billing and Audit
Burjeel Day Surgery Center
04.2023 - Current
Senior Accounts Receivable Associate
Cascade Revenue Management Pvt. Ltd
08.2020 - 12.2022
Senior Accounts Receivable Associate
WAVE Online Infoway Pvt. Ltd
10.2018 - 05.2020
Bharathiar University
Master of Business Administration (MBA) from Human Resource
01.2017 - 01.2019
Accounts Receivable Associate
Guidehouse India Private Ltd
12.2016 - 10.2018
St. Cyril's College
Bachelor of Commerce from Computer Applications
01.2013 - 01.2016