Medical Biller with experience supporting five physicians in a busy medical office. Expertise includes claim management, insurance and patient billing, posting EOBS, account receivable management (ageing reports).A highly motivated, enthusiastic individual, attention to detail, ability to handle stress and work rapid pace to meet the deadlines. Seeking a position in your medical practice that provides an opportunity to use office management skills while tackling a wide variety of medical coding and billing tasks.
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Certified Medical Billing and coding specialist
1. Purnima Singh
North Brunswick, NJ – 08902
Mobile: +1 908 801 4581
Email: Purnima.Singh.Rana@gmail.com
VISA STATUS: EAD (Eligible to work for any Employer in the US)
Career Objective
Medical Biller with experience supporting five physicians in a busy medical office.Expertise includes
claim management, insurance and patient billing,posting EOBS,account receivable
management(ageing reports).A highly motivated, enthusiastic individual,attention to detail,ability to
handle stress and work rapid pace to meet the deadlines.Seeking a position in your medical pratice
that provides an opportunity to use office management skills while tackling a wide variety of medical
coding and billing tasks.
Educational Qualifications & Certifications
1. Certified Medical Billing & Coding Specialist (Accredited by CSS-MSA (Recognized by US
Dept. of Education)
AIMS Education - Piscataway, NJ (Sep, 2016 – Dec, 2016)
NHA- Certified Billing and Coding Specialist
2. Master of Business Administration (MBA) in Biotechnology and Human Resource (HR)
Amity Institute of Biotechnology, Amity University, India (2003-2005)
3. Bachelor of Education (B.Ed.)
Manav Rachna College(MRC) of Education, MDU (Maharishi Dayanand University), India (2009-
2010)
4. Bachelor of Science (B.Sc.)
MCM Anglo-Vedic College for Women, Punjab University, India (2000-2003)
Skills and Abilities
● Analyze and collect data to prepare for electronic billing to insurance cos.
● Cooperative, team player, adaptable and willing to help wherever needed.
● Excellent work ethics, people skills, works well with all ages and diversities.
● EOB Claims and Preauthorization
● Familiar with the proper use of ICD-10, CPT, HCPCS coding rules
● Working knowledge of medical and insurance terminology, anatomy and physiology
● Knowledge of HMOs, Medicare and Medicaid.
● Compliance, Law & Ethics (HIPAA)
● Proficient in Patient Follow Up
● Proficient in English and Hindi
●
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2. Personal Skills
● Proactive, creative problem solver and open to innovative solutions
● Detail-oriented and care about the quality of work
● Excellent cross-group collaboration, communication skills and interpersonal skills
● Ability to multi-task, deal with ambiguity, and achieve results in a fast-paced, heavily-matrixed
team environment
Technical Proficiency
● Microsoft Outlook, Excel, Word and PowerPoint
● Working Knowledge of medical billing software system(Practice Manager, Madisoft etc)
● Proficiency with NaviNet and other payer websites for eligibility verifications and claim status
for efficiently conducting accounts receivable follow-up and maximizing revenue.
Professional Experience (Non-Clinical)
1. Cardiovascular Intervent Of CJ (Dec 2016 – Current)
Designation: Medical Billing and Coding Specialist
Profile:
● Prepare and submit clean claims to various insurance companies both electronically and by
paper (CMS 1500 FORM).
● Following up on Accounts Receivable aged by insurance.
● Inquire on every outstanding balance on aging reports.
● Prepare,Maintain,Review and Analyze Accounts Receivable report
● Review, follow-up to investigate and payments on all denials and trend from the insurance.
● Prepare, review and send patient statement
● Posting and Reviewing of EOB 's/EFT for proper reimbursement, verifying patient coverage
● Maintains ongoing contact with clients to ensure prompt payment on all accounts
● Escalate unidentified payments and incomplete claims appropriately
● Process payments received from a variety of sources including multiple insurance plans/types,
3rd parties, and patients
● Reviews edit reports from clearinghouse daily and resolve issues so claims can be processed.
● Investigate billing discrepancies, resolve billing issues including any appeals and making
corrections as needed
● Perform data entry for missing data as needed. Ensure that deductibles, coinsurance, copays,
denials and/or other charges are properly populated.
● Post debit/credit adjustments of misapplied payments to ensure accurate and timely reporting of
accounts.
● Sending the medical records , completion of all the requested additional paperwork,
● Answer questions from patients, staff and insurance companies.
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3. ● Responsible for contacting patients and requesting payment in a timely fashion.
● Calling different insurances for verification (coverage and benefits and authorizations).
2. ITM (July 2016 – Aug 2016)
Designation: Recruitment Consultant and Administrative Assistant
Profile:
● Exercise discretion is organizing and maintaining executives' schedules, appointments and
travel arrangements. Arrange and coordinate conference calls, meetings, events and facilities.
● Monitor, screen, respond to and distribute incoming communications, including faxes and
email.
● Perform general office duties such as ordering supplies, maintaining records and management
database systems, filing and retrieval of corporate documents, records and reports. Coordinate
and direct office services, including reception coverage, housekeeping and security access
badges.
● Prepare expense reports, prepare requisitions and purchase orders, and release/process
invoices for payment.
● Creating job profiles for recruitments based on the requirements.
● Posting jobs on the social recruitment/networking websites i.e. Linkedin.com, indeed.com
● Ensuring the integrity and accuracy of all record keeping
● Coordinating all advertising activities and budgets for the office
● Contacting vendors when services are needed for the office equipment
3. Unison International Pvt Ltd. (Feb’ 08 – Feb’ 09)
Company Profile - Unison is a leading HR solutions company, advising clients in all aspects of
recruitment, training & consulting. Our professional team will work with you to develop a
competitive market search. Developing thorough job description is vital to a successful search
detailed analysis of the client’s industry, company, competitors and based on your needs and our
research, Unison will identify the best.
Designation: Recruitment Consultant
Profile: Worked as a Consultant, taking care of the different HR functions including recruitments at
all the levels of HR and Marketing in Retail, Consumer Durables and Apparel Organisations.
● Partner with the Recruiting team to provide compensation support, training and guidance.
● Partner with other Compensation Analysts and HR Generalists to solve compensation-related
business problems and provide compensation guidance.
● Identify, source, screen and interview candidates for a variety of positions across multiple
departments
● Communicate clearly & succinctly with candidates while positively representing the company
● Ensure a positive candidate experience while identifying candidate risks, proactively moving
candidates thru the recruiting process, partnering with hiring managers, and negotiating offers
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4. ● Implement a regional recruiting methodology to attract and hire industry veterans, graduate
students and college candidates.
● Sourcing the candidates from the online job portals (naukri.com, monster.com and
jobstreet.com) according to given job description
4. Eminence Consulting (Amongst the Top HR companies in India) – June’ 07- Feb’ 08
Company Profile - Eminence Human Resources Consulting Pvt. Ltd. is an executive search firm,
primarily catering to middle and senior management placements across sectors. Eminence caters
to clients in India and overseas and have presence in multiple locations across the country. Large
portion of our assignments are from overseas clientele and for requirements of our Indian
Corporate clientele for their overseas businesses.
Designation - Associate Consultant
Profile: Same as above
5. TechnoFast Consulting Solutions Pvt Ltd - Dec, 06 to June’ 07
Company Profile - TechnoFast Consulting, established in year 2000, is a progressive management
consulting and IT Solutions Company with offices in the UK, Germany, Singapore, Japan and India.
TechnoFast offers strategic partnership to its clients, ranging from large Global 500 corporations to
SME's, and is able to provide a flexible partnership model that can support a variety of service and
skill requirements by exploiting the entire network of TechnoFast solution centres and alliances.
Designation - HR Generalist
Profile: As an HR trainee I worked in the Corporate Office. My profile dealt with attendance, salary,
dealing with consultants, interviews, selection, induction, training, issuing appointment letters,
maintaining records of employees, resignations, terminations, warning letters, solving employees’
day-to-day issues, taking care of hygiene factors, discipline and motivating the staff.
● Maintaining HR database & generate MIS-reports.
● On-boarding and orientation, HR Operations & Office administration work
● Handling recruitment of financial, technical, semi – technical and sales profiles
● Sourcing candidates through networking, job portals, internal database, referrals
● Conduct reference checks for the experienced candidates who have been selected through the
interview process
● Execute Campus-related activities
● Preparing and releasing advertisements in job portals and newspapers
● Screening and short listing the appropriate profiles, using all the available sources, coordinating
and conducting interviews both telephonic and personal and supervising (teeth to tail) the
entire gamut of non-agent level hiring
● Conducting technical test & taking the preliminary HR round
● Negotiate salary package with the candidates
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5. ● After the selection, complete the process of making job offers and reference checks
● Filing and Documentation
Projects Undertaken
1. Ranbaxy Global Pharma, 2004 (Duration: two months)
Internship Trainee (Gurgaon, India)
● Charted out a detailed business plan for the launch of the company’s new product called Insulin
in India
● Collected qualitative and quantitative data from different marketers, and scientists to
determine customer requirements
● Gathered complete knowledge of the product and its competitors in the market
2. Life Technology Limited, 2004 (Duration: one month)
Trainee (New Delhi, India)
● Led a team of three members during training for data collection from various research centres,
hospitals and institutes that became the primary source of information for the company
● Participated in channel analysis, where the many channels companies use to deliver their
products to the market, were analysed
● Participated in company analysis, in which the strengths, weaknesses, opportunities and
threats faced by a company were revealed
Papers Presented and Publications
● Gene Therapy, particularly Tumour Suppressor Gene P53, Amity Institute of Biotechnology,
Noida, India, 2003
● Treating Waste Material from Pharmaceutical and Fermentation Industry, Amity Institute of
Biotechnology, Noida, India, 2004
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6. ● After the selection, complete the process of making job offers and reference checks
● Filing and Documentation
Projects Undertaken
1. Ranbaxy Global Pharma, 2004 (Duration: two months)
Internship Trainee (Gurgaon, India)
● Charted out a detailed business plan for the launch of the company’s new product called Insulin
in India
● Collected qualitative and quantitative data from different marketers, and scientists to
determine customer requirements
● Gathered complete knowledge of the product and its competitors in the market
2. Life Technology Limited, 2004 (Duration: one month)
Trainee (New Delhi, India)
● Led a team of three members during training for data collection from various research centres,
hospitals and institutes that became the primary source of information for the company
● Participated in channel analysis, where the many channels companies use to deliver their
products to the market, were analysed
● Participated in company analysis, in which the strengths, weaknesses, opportunities and
threats faced by a company were revealed
Papers Presented and Publications
● Gene Therapy, particularly Tumour Suppressor Gene P53, Amity Institute of Biotechnology,
Noida, India, 2003
● Treating Waste Material from Pharmaceutical and Fermentation Industry, Amity Institute of
Biotechnology, Noida, India, 2004
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