Kalpana Surani

Kalpana Surani

$10/hr
Medical Billing | AR Collection | Denials Management
Reply rate:
-
Availability:
Full-time (40 hrs/wk)
Age:
31 years old
Location:
Gandhinagar, Gujarat, India
Experience:
7 years
Kalpana Hardik Surani BBA (Marketing) Email:-Contact No.:- OBJECTIVE Willing to work in a challenging and creative environment and want to be a good key player and leader. To obtain a challenging position that provides me opportunities to exploit my knowledge and extensive development skills to the extreme levels of my ability and to continually upgrade myself to the highest levels of expertise enabling the organization to achieve its target and growth. ACADEMIC INFORMATION QUALIFICATION BBA (Marketing) H.S.C. S.S.C. INSTITUTE BOARD/UNIVERSITY Shree Swami Atmanand Veer Narmad South Saraswati clg. of Mgt., Gujarat University Surat. Surat Diamond Association G.H.S.E.B. Girls High School ,Surat Surat Diamond Association G.H.S.E.B. Girls High School ,Surat Grade Obtained YEAR OF PASSING 77% 2011 75% 2009 Second Class 2014 OTHER ACADEMICS ● ● ● Completed professional course of Corel Draw. Expert in MS Office, bidding portals, WP Website updating, etc. Undergone expert training for GeM (Government E Marketplace) portal Software/Web Proficiency Office Suite- M.S. Office CorelDraw, Photoshop, Sketchup GeM, E procurement, Amazon, Flipkart WORK EXPERIENCE Organization Duration Designation held Jalaram Steel Furniture Pvt. Ltd. Nov. 2014 – June 2020 Deputy Manager (Marketing) Key Roles: ● E-tendering and online vendor registration of the premium institutes like various IITs, IIMs, AIIMS, NITs, defense organisations, PSUs, Governement departments, GeM (Government E Marketplace) and many more. ● E-Gem Portal Handling and Price Biding (Order Generation To Order paid) ● E-Gem Catalog Creation and Updates , OEM Panel Operating, My Account handling ● Price Quotation and Negotiation ● Material purchase and supply on E-Gem as given time (PAN INDIA) ● ● ● ● ● ● ● ● ● ● ● ● ● ● Searching and Submission of Tender Pricing and Costing of Tender product Comparison and Specification of Product according to Tender Specification Forecasting Tender opportunities Technical Support to online Tender Team. Marketing and customer communication Tender & Commercial Communication Regular MIS to management regarding Sales and Marketing achievements. Achieved bulk project business in more than 10 IITs, 3 NITs and more than10 Universities. Offline tendering. Catalogue designing and graphics designing. Office work, coordination assistance to all marketing activities. Website updating. Vendor registration and customer development of all premium institutes like Universities, IITs, IIMs, AIIMS, Colleges and technical inst. etc. Organization Duration Designation held The Patriot Group July 2021 - present Manager (Remote) Key Roles: ● Handling team of 10 Medical Billing and AR Associates for US Healthcare project Medical Billing Services: • To check Eligibility and verification of patient’s health benefits from insurance carrier’s website and through Phone. • Full patient demographics and charge entry • Insurance claims submission (primary, secondary or tertiary) AR Follow up & Denials Management: • Accounts receivable analysis with corrective and preventive actions and decision making for Collections • Strong claims follow up on denials from insurances like Workers Comp, Medicare, Medicaid, BCBS Semi Government, Managed care and Commercial Insurances (Aetna, BCBS, Cigna, UHC, Oxford etc...) • Patient billing inquiries as per received information from provider office • To check claim status from insurance, websites, IVR and via live calls. • To make on call appeals for reprocessing of incorrectly processed claims based on billing knowledge • ICD9, CPT and HCPCS Coding and/or review, • Daily, Monthly and annual AR Financial reports preparation • Custom reports wherever required • Patient billing as per instructions • Credentialing guidelines • Consulting/Training • Super bill review • Appeals • Opening negotiations and getting claims processed at higher rates. Skills: • Medical billing • Insurance claims processing • Revenue cycle management • Electronic health records (EHR e.g., ChiroTouch, Practice Fusion, PrognoCIS, Apex, AdvancedMD, etc.) • Medical billing software (e.g. AdvancedMD, ECW, AthenaHealth, Kareo) • HIPAA compliance • Customer service Experience: • Successfully processed over 10,000 insurance claims for a large medical practice, resulting in more than 20% increase in revenue • Trained and supervised a team of more than 20 medical billing specialists & AR Follow up executives • Assisted with audits and audits to ensure compliance with HIPAA regulations HOBBIES AND INTERESTS ● ● ● ● ● ● ● ● Yoga, Photography, Travelling PERSONAL PROFILE Date of Birth: 15th June, 1994 Nationality: Indian Gender: Female Languages Known: English, Hindi and Gujarati Present Address: 1222/1, Sector 2 A, Gandhinagar, Gujarat - 382021, India.
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