New Delhi, Delhi, India
US Healthcare Revenue Cycle Management professional with over 7 years of experience across front-end medical billing operations and process training. Possesses in-depth expertise in appointment scheduling and indexing, insurance and benefits verification, and prior authorization creation and validation, contributing to high front-end accuracy and reduced downstream denials. Currently serving as a Process Trainer, with hands-on experience in new hire onboarding, refresher training programs, SOP development, and quality improvement initiatives. Demonstrated ability to translate complex payer guidelines into clear, actionable processes, enabling operational teams to improve productivity, accuracy, and compliance. With a strong foundation as a senior associate and customer care professional, brings excellent communication, stakeholder coordination, and problem-solving capabilities. Driven by a passion for process optimization, people development, and operational excellence within the US healthcare domain.
• Checking a patient’s active coverage and benefits with the insurance company. • Reducing coverage errors, minimizing rejections and denials. • Verifying patient’s authorization requirement and obtaining right authorization number for services requiring authorization. • Ensuring confidentiality of patient’s health information and following HIPPA guidelines. • Maintain assigned SLA • Prepare day end reports • Giving mentorship to new hires and supporting them
• Provide email based customer service solutions to one of the largest US based e- commerce company • Continuously exceeding expectation by delivering high quality service to the customers • Maintaining healthy competition among teams across the floor and trying to excel in all possible areas