SHIVANI BHATIA
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D-238, SUSHANT LOK-1, Gurgaon, HR (India) 122009 | Cell: - | Skype: -
E-mail:-
PROFESSIONAL SUMMARY
More than 20 years of experience of supporting many busy medical offices at multiple locations. Expertise
includes medical billing, coding, and office management. Honest, reliable multi-tasker with multiple
specialties experience.
SKILL HIGHLIGHTS
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Knowledge of medical plans – Private pay/Self Pay (with Payment Plans) Commercial,
HMOs, PPOs, Worker's comp, Medicare, and Services / Procedures - CPT and HCPCS
coding for US Medical Billing
Maintain strict confidentiality
Departments handled billing processes for - Behavioral Health, Internal Medicine,
Family Practice, Office Surgery, Urology, Gastroenterology, OB-GYN, Physical Therapy,
Sports and Pain Management, Neurology, Podiatry, Vascular Study experience,
Radiology
Good written and verbal communication
Team player with positive attitude
Patient-focused care
Strong work ethics
Strong planning skills
HIPAA compliance
PROFESSIONAL EXPERIENCE
Dec”20 – Current
US Medical Billing Works. Working as a freelancer for non-voice billing processes.
Feb’’15 to Jul”20
Manager –Billing Operations
Weind Provider Solutions -- Gurgaon, Haryana (India)
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Accomplish billing processes, human resource objectives by selecting, orienting,
training, assigning, scheduling, coaching, counseling, and disciplining employees;
communicating job expectations; planning, monitoring, appraising job contributions;
recommending compensation actions; adhering to policies and procedures.
Meet billing operational standards by contributing information to strategic plans and
reviews; implementing production, productivity, quality, and customer-service
standards; resolving problems; identifying system improvements.
Define operational policies and initiatives to help in the completion of everyday tasks
such as eligibility verification, processing of claims for charges and received payments,
claim submission, insurance denial handling, patient balances etc.
Thoroughly investigate past due invoices and minimize number of unpaid accounts.
Analyzing insurance and patient reports in reference to productions, collections, trends
and performances that may be practice, doctor or employee specific in order to find
appropriate conclusions.
Obtaining revenue by processing invoices; resolving missed payments; updating
financial records; supervising staff.
Catering to the needs of the doctors and patients in as conscientious in manner as
possible.
Working co-operatively and positively with all internal departments, providing excellent
service and support and advice where applicable.
Formulating action plans and orientation of the members to cope with the competitive
environment.
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May’09 to Jan’15
Approval of manpower requisition via HR; hiring and firing of staff as per operational
performance and requirements.
Planning and conducting meetings with the staff to ensure practice and insurance
updates, coding and billing changes and addressing any other important issues.
Manager Billing –Billing Operations
Medical Support Systems – Gurgaon, Haryana (India)
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Apr’07 to Apr’09
Preparing and maintaining the financial reports on weekly, monthly, and yearly basis.
Demonstrating knowledge of HIPAA Privacy and Security Regulations by appropriately
handling patient information.
Appropriately and correctly identifying errors and re-filed denied/rejected claims as
they were received.
Submitted refund requests for claims paid in error.
Ensured timely and accurate charge submission through electronic charge capture,
including the billing and account receivables system, and clearing house.
Preparing and attaching all required claims documentation including referrals,
treatment plans or other required correspondence to reduce incidence of denials.
Assistant Manager–Billing Operations
Medical Support Systems – Gurgaon, Haryana (India)
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Jun’04 to Mar’07
Responsible for billing medical claims via electronic media and resolving the rejected
claims.
Allocating work among the team members; setting targets and guiding the team
members in resolving the issues encountered.
Remained up to date with all insurance requirements, including the details of patient
financial responsibilities.
Maintenance of all Medical Billing database.
Perform scheduled back up of the practice data from the software application.
Medical Billing Executive
Medical Support Systems – Gurgaon, Haryana (India)
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Apr’01 to Mar’04
Handling the medical billing process assigned, on behalf of the doctors by working on
the individual systems.
Posting charges, payments, and adjustments.
Following up for any denied/rejected/pending claims.
Performing quality control of the data entry system to verify that claims and payments
were posted correctly.
Medical Billing Executive
iShiva Back Office Pvt. Ltd. – Gurgaon, Haryana (India)
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Feb’01 to Apr’01
Timely billing of claims from superbills, applying payments & adjustments after proper
quality checks.
Carefully coding disease and injury diagnoses, acuity of care and procedures in an
outpatient setting.
Accurately entering procedure codes, diagnosis codes and patient information into
billing software.
Preparing and e-mailing the exception report every day to the US client.
Medical Transcriptionist
Indraprastha Apollo Hospitals – New Delhi (India)
Transcription of medical summaries for the doctors of all specialties.
35 to 40 dictations of 45 to 50 lines (each of 7 to 10 minutes).
Maintained accuracy and speed of above 90% with excellent proofreading skills.
Transcribed 350 lines per day.
EDUCATION AND TRAINING
2001
Diploma in Medical Transcription
Indian Institute of Medical Transcription – Gurgaon, Haryana (India)
2001
Extensive Training Program in Medical Transcription
Comdex Technical Pvt. Ltd – Gurgaon, Haryana (India)
2000
Swift India Certification
NIIT – Gurgaon, Haryana (India)
2000
Bachelor Degree in Pharmacy
Hindu College of Pharmacy – Sonepat, Haryana (India) – 68.7%
1995
Higher Secondary
D.A.V. School (A.I.S.S.C.E.) – Panipat, Haryana (India) – 75%
PERSONAL INFORMATION
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Date of Birth: 25th September 1977
Nationality: Indian
Marital status: Married
Spouse’s Name: Ripul Bhatia
STRENGTHS AND AMBITIONS
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Dedicated, conscientious and diligent worker, good communication skills, fluent in
English, possess a positive attitude and the knack of adopting reasonable and qualityoriented approach towards the tasks assigned.
Hard working, good at interpersonal relationships and team spirit, leadership qualities,
love challenges, disciplined, loyal, and ability to adapt and learn.
Would like to see myself associated with a corporate set-up with global vision and
international standards which can fulfill my desire of thrive myself as an individual
geared with the ability to manage the rigors of the competitive environment.
PRACTICES/ACCOUNTS WORKED FOR IN THE PAST
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Gastroenterology of Greater Orlando, Florida
West Volusia Family and Sports Medicine
AdvanceCare Wellness & Womens Health, Florida
Avalon Rehab, Dr. Michael Carlson, California
Kasraeian Urology, Florida
Urology Associates of NE, Florida
Urology Winter Park, Florida
East Valley Family Medical, Arizona
Optima Vein Care, Arizona
Podiatry, Arizona
