Swati Dornala: Team Coach

Job role: - • Worked as a Team coach in payment posting/Credit balance team. • Successfully onboarded new clients in absence of Team Leader. • Responsible for status reporting, client communication & coordinating with the team for timely completion and quality maintenance of the process as per set protocols and SOP. • Optimizing employee's time to finish the tasks through guidance and counselling, thus enhancing employee efficiency. • To ensure none or minimal disruption in Revenue stream and in Practice workflow • Excellent verbal and written communication skills, including ability to effectively communicate with internal and external teams. • Handled team successfully in the absence of Team Leader. • Working knowledge of MS Office including Word, Outlook, and Excel.

Our Daily primary activities include as insurance follow-up specialist are to manage the billing and collections for physicians. • Assist in filing insurance claims, determining write-offs, and resolving coding issues, Reviews and research claims for denials reason. • Maintaining daily log of number of electronic claim rejections, Denials and no response and completing production and quality goals within given deadlines. • Review and analyse the history of the assigned accounts (and associated accounts) to determine current status and to assist in determination of next steps. • Verify documentation and eligibility benefits. • Performing timely follow up on all assigned claims.

Worked on analysing all applicable EOB's, review of all payments, review of all adjustments, verification of benefits, and all account comments. • Worked on analysing applications transaction details screen and finding the credit balance amount • Adjust the reversal adjustments and finding the refund amount. • Filing the refund form and document the necessary EOB's and documents and send to client • Worked on find the patient credit balance and cross check with previous encounters if any debit balance needs to post that amount • Exceeds daily and weekly volume/productivity management reporting while maintaining a high-quality review score. • Review daily credit balance work list to initiate research of credit balance accounts.