"Dedicated healthcare insurance verification lead assistant manager with proven expertise in streamlining processes and ensuring accurate coverage verification. Skilled in team leadership, process improvement, and customer service excellence. Committed to optimizing workflows to enhance efficiency and patient satisfaction."

Skilled and experienced Revenue Cycle Specialist has strongknowledge of medical billing practices.Knowledgeable aboutinsurance company and government program reimbursements.Thorough knowledge concerning patient confidentiality and HIPAArules. Good ability to interpret rules and regulations set byMedicaid Medicare and commercial insurance payors.

• Documented all activities• Knowledge about Medicaid,Medicare, commercial insurance(HMO, HNO, PPO, POS plans)., CMS,ESRD, Motor Vehicle Insurance (autoinsurance), Worker's compensation.

Policy Interpretation Commonresponsibilities listed in a medicalinsurance specialist resume includereviewing and updating patients'records, including billing details,examining medical insurance claims.Made calls to insurance companies and individuals with outstanding accounts and arranged payments.

Claim Processing Executive• Researching on claims and reprocess the claims as per process guidelines• Following adjudication policies and procedures to make sure proper payment of claims• Achieving monthly target on time as well Acquiring knowledge of related areas of the project• Understanding all the binding laws and regulations relating to process and adhering to quality standards• To impart training and assist junior claim examiners on the job training• Identifying process improvement opportunities and reporting the same to the Supervisor.• Everyday updating the production report as well as the inventory report and submit to the Supervisors