Bhupender Singh

BHUPENDER SINGH HN- 1882/2633, Parvatiya Colony, NIT Faridabad, HR – 121005 -- AN OVERVIEW A “Performance Driven Professional” with 7 years of experience in US healthcare. US Healthcare Insurance (Physician/Hospital Side). Account Receivable, Medical Indexing, Payment Posting, Billing, Claim processing, Benefit and coverage verification and Credentialing. Area of Expertise Medical Billing and Account Receivable. Quality Auditing for Medical Billing forms and Medical Records, Eligibility and coverage verification. Coaching & Mentoring Skills. Provider Credentialing. Maintaining Medical Records. Payment Posting. Claims Denial Management. EMPLOYMENT DETAILS Sr. Clinical Quality Auditor - Sovereign Health from August 2016 to July 2018. Process-AR & CQA AR Follow up with Insurance and so on website. Verifying Eligibility and Benefit with Insurance. Denial handling with Insurance and finding solutions for rejected claims. Preparing & Auditing Billing Census for Charge Posting. Auditing all Medical Documents as per the QA parameters. Daily follow up on Pending or incomplete Medical records with Program Director and Case Manager. Scheduling Daily Individual session with Clinician. QA work for Claims. Allocating jobs and workloads to individual staff members based on their ability. Monitoring the Patient status since admit date to Discharge. Auditing all Medical documents and Maintaining all medical records and Patient Demographic information. Preparing Financial Packets for the record. Follow up with Program Director and Therapist regarding missed session and Medical documents. Scheduling and monitoring all Group/Family/Individual sessions. Follow up with the Case Manager and Program Director regarding the Patient status. Making Comprehensive Daily Discharge Data Analysis. Pre-mature Discharge report. Sr. Analyst- nexG Services from April’14 to July’16. Process- AR Follow up & VOB (Insurance eligibility and Benefit) “Health insurance verification is all about the process of checking patient's active coverage with the insurance company and verifying the eligibility and benefit before Doctor visit”. AR Follow up with insurance regarding denial and Payments. Worked on Denial on websites and so on Call with insurance companies. QA work for Claims. Provider Credentialing with Insurance. Payment posting and Verifying VOB. Allocating jobs and workloads to individual staff members based on their ability. Follow up with insurance companies regarding the patient’s eligibility and benefit. Auditing calls and Benefit reports. Patient calling to update the COB information. Preparing Production reports, Work Allocation, Quality checks and handle weekly calls with the client. Sr. Analyst- Accretive Health from June’11 to Sep’13 Process - Mobile(AL) and Pensacola(FL) AR Follow up with insurance regarding denial and Payments. Worked on Denial on websites and so on Call with insurance companies. QA work for Claims. Payment posting and Verifying VOB. Maintaining all Medical Records for Claim Processing. Worked on Medicaid Mobile (AL) and Pensacola (FL). Also worked on Commercial and HMO. Internal audits for quality improvement, Client handling regarding new updates and issues. Making reports and provided training to new user, Client Meeting MOM, work distributions EDUCATIONAL QUALIFICATION B.A Passed from Periyar University. 12th Passed from CBSE. 10th Passed from HBSE. TRAINING AND RECOGNITION Participated in Email etiquette training. Awarded with “Rising Star” 1 year in a row. Awarded with best SPOC in absence of Team Leader. Awarded with Annual Star – QUALITY. IT LITERACY Have Done Basic Computer Course from Arise Computers. Knowledge of Microsoft Windows, MS Word, MS Excel, MS PowerPoint, Internet-mail. PERSONAL DETAILS Father’s Name : Sh. Fakir Singh Date of Birth : - Marital Status : Married Language:English and Hindi Hobbies:Playing cricket and watching movies. Bhupender Singh