Madhuranjani Lade

• Processing medical claims for the individuals and assuring proper payment in keeping the insurance benefit plan.
• Getting eligibility and approvals through all the insurance portals and eclaims for the procedures (consultation, vaccination, dental, physiotherapy, radiology, pathology, dermatology).
• Acquired specific CPT and ICD-10 codes to ensure proper treatment and billing of all detailed procedures.
• Handling eclaim entry, submission and resubmission of claims.
• Contact physicians and other health care professionals with questions about treatments or diagnostic tests given to patients with regard to coding procedure.
• Preparing monthly insurance claims report.
• Explaining coverage of medical benefits to patients.

• Reviewed medical records thoroughly, ensured precise coding for all

diagnoses and procedures.

• Maintained up-to-date knowledge of coding regulations and practices through continuous professional development opportunities.

•Knowledge of anatomy, physiology and medical terminologies to provide precise code assignments.

• Applied correct ICD-10 codes for accurate billing purposes. Enhanced revenue generation with efficient application of CPT, HCPCS Level II and ICD-10 codes.

• Performed daily checks on coded data against original documents to ensure integrity of information recorded.

• Helped reduce claim denials due to incorrect or incomplete codes by maintaining high standards of accuracy in work output.