SITHARA SOMAN
Dubai
Summary
Diligent billing professional bringing a demonstrated history of success in all types of medical billing . Accustomed to answering questions, providing information and resolving concerns. Prepares and distributes statements to insurance and patients, while maintaining comprehensive, accurate records. skilled at independently managing filing, report writing and other ad hoc office functions. well-versed in analyzing data to identify ways to reduce costs and improve accounting processes. Skilled at boosting profitability and minimizing accounting errors. Good listening, speaking and problem-solving abilities. Detail oriented, with a passion for learning and applying new skills for professional growth.
Overview
5
5
years of professional experience
1
1
Certification
Work History
Medical Billing, Claim Submission and Authorisation
Emirates Hospitals And Rehabilitation Centre
08.2018 - Current
- Applied HIPAA privacy and security regulations while handling patient information.
- Completed and submitted appeals for denied claims.
- Reviewed claims for coding accuracy.
- Coordinated communications between patients, billing personnel and insurance carriers.
- Contacted insurance providers to verify insurance information and obtain billing authorization.
- Reviewed account information to confirm patient and insurance information is accurate and complete.
- Interpreted medical terminology and pharmacological information to translate information into coding system.
- Organized information for past-due accounts and transferred to collection agency.
- Handled billing, waivers and claims for private and commercial clients.
- Kept accounts current with facility-approved reporting and analysis strategies.
- Submitted and accurately processed insurance claims with related medical code verifications and assessments.
- Maintained high accuracy rate on daily production of completed reviews.
- Handled billing for full complement of practice providers.
- Used strong analytical and problem-solving skills to develop effective solutions for challenging situations.
- Used critical thinking to break down problems, evaluate solutions and make decisions.
- Identified issues, analyzed information and provided solutions to problems.
- Cultivated interpersonal skills by building positive relationships with others.
- Gained extensive knowledge in data entry, analysis and reporting.
- Proved successful working within tight deadlines and a fast-paced environment.
- Delivered services to customer locations within specific timeframes.
- Learned and adapted quickly to new technology and software applications.
- Managed time efficiently in order to complete all tasks within deadlines.
- Provided professional services and support in a dynamic work environment.
- Passionate about learning and committed to continual improvement.
- Proven ability to learn quickly and adapt to new situations.
- Assisted with day-to-day operations, working efficiently and productively with all team members.
Education
CPC -
Cigma Medical Coding Academy
Kerala08.2018
B.tech Biotechnology -
METS Engineering College
Kerala07.2012
Skills
- Account follow-up
- Insurance collections
- Medical coding understanding
- Recordkeeping
- Information inputting
- ICD-10 coding
- Claims expertise
- Claim review
- Account management
- Data entry
- Submission of medical claims
- Dictation and transcription
- CPT code modifiers
- Operations support
- Data security procedures
- Reimbursements
- Training and development
- Organization and Time Management
- Flexible and Adaptable
- Decision-Making
- Friendly, Positive Attitude
- Teamwork and Collaboration
- Problem-Solving
- Multitasking Abilities
- Organizational Skills
- Critical Thinking
- MS Office
- Microsoft Office
Additional Information
Software:insta, pulse,Trackare
Certification
- CPC from American Academy of Professional Coders
Member ID : 1111111
Timeline
Medical Billing, Claim Submission and Authorisation
Emirates Hospitals And Rehabilitation Centre
08.2018 - Current
CPC -
Cigma Medical Coding Academy
B.tech Biotechnology -
METS Engineering College
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