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Nikhil J. | Elance
 
176985602337900
Last Sign-in: Sep 14, 2016

Nikhil J.

E to E Healthcare Revenue Cycle Management Expert
   India
  |   Noida, Uttar Pradesh

Overview

I 'm having more than Five years of experience in End to End Healthcare Revenue Cycle Management includes Medical billing, Denial Coding, AR Follow-up Management, Refund Management, Denial Management, Insurance Verification, Compliance Projects, managed care contract negotiations, staffing, work flow efficiency, billing, coding, appeals, experience on multiple PM/EMR systems . I have worked upon several Medical Billing Software Medical Manager, All-scripts (Mysis Tiger software & Payer Path), Intergy, Signature, Nex-Gen Software for...

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Apr 22, 2015|Other - Multimedia Services|$285|Completed
|
2.0

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Skills (10)

Tested
Medical Coding
Denial Management
Healthcare Revenue Cycle Management
AR Followup
Claim Adjudication
EHR & EMR Pre-sailing
Provider Credentialing
Demographic Entry
Charge Posting
Payment Posting

Service Description

Service Description

a) Medical Billing Services includes the following:-
- To check Eligibility and verification of patient¿s health benefits from insurance carrier website and Via Phone.
- Create appointments on scheduler while receiving patient calls
- Full patient demographics and charge entry
- Insurance claims submission (primary, secondary or tertiary)
- Accounts receivable analysis and decision making for Collections
- Strong claims follow up on denials from insurances like Workers Comp, Government payers, Managed care and Commercial Insurances (Aetna, BCBS, Cigna etc...)
- Patient billing inquiries as per received information from your office
- To check claim status from insurance auto response unit 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
- Monthly and annual reports preparation
- Custom reports where required
- Patient billing as per instructions
- Credentialing guidelines
- Consulting/Training
- Super bill review
- Appeals

(b). Medical Coding
- To research the right DX and CPT code according to medical records
- Provide right DX pointers for the first time to avoid payment delays
- Suggest appropriate modifier for maximizing the revenue

(c). Specialties
- Otology
- Family Practice
- Dermatology
- Podiatry
- Orthopedic Surgery
- Cardiology
- Internal Medicine
- Sports Medicine
- Pediatrics
- Pain Management
- Anesthesia
- Ophthalmology
-...

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Employment

R Systems International Ltd
Business Analyst (Healthcare Revenue Cycle Mgmt)
2010 - 2014
I 'm having more than Five years of experience in End to End Healthcare Revenue Cycle Management includes Medical billing, Denial Coding, AR Follow-up Management, Refund Management, Denial...

Education

AnnaMalai University, TamilNadu
MBA (Healthcare)
2008 - 2010
Overview  |  Job History  |  Resume/C.V.

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Identity
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nikhil_jain
Type
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Member Since
January 2014
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Nikhil J. | Elance

Nikhil J.