To work in an organization as an integral part of it and accomplish the job assigned in a better way. Im looking for a highly challenging and dynamic work environment in which I will be able to enhance my professional skills and would be able to get valuable work experience.
Follow up of claims denied by healthcare insurances by taking corrective actions as per denial codes.
Timely and error-free medical bills entry and posting of the reimbursement received from insurances.
Tele-conversation with representatives of American insurance companies and different provider’s associations regarding claim follow-up.
Analysis and research of the overall claim cycle involving claim submissions, claim status.
Provide resolutions to denied claims.
Prepare appeals on claims denied due to late filing and other incorrect denials.
Prepare daily and monthly work reports.
Support the development and implementation of HR initiatives and systems, provide counseling on policies and procedures, actively involved in recruitment by preparing job descriptions, posting ads and managing the hiring process, develop training and development programs, assist in performance management processes, support the management of disciplinary and grievance issues, maintain employee records (attendance, EEO data etc.) according to policy and legal requirements, review employment and working conditions to ensure legal compliance.
Consistent monitoring and evaluation activities of Donor-funded activities and preparing progress reports to the respective Donors, developing, implementing and monitoring fundraising strategies. Approaching and raising funds from companies, trusts, donors and maintaining a network of corporate contacts and effectively managing and maximizing these relationships.