As a Team Lead, I oversaw consultant onboarding, timesheets, and employee relations while also handling full life cycle recruiting and establishing effective tracking systems. Additionally, my role as a Pharma Validation Lead allowed me to recruit and train professionals working in FDA-regulated environments, including Quality & Pharma Validation Engineers and Technical Writers, among others.

Handling Completely the recruitment of professionals working in FDA regulated environments. Experienced in the recruitment of Validation Engineers (Computer System Validation, Cleaning Validation, Technical Writers, Project Managers, Equipment Validation).Responsible for handling Clinical & Pharmaceutical requirements from US-based clients:•Sell bench candidates including direct marketing candidates or trainees or H1B transfer candidates.•Understand Pharma requirements of clients as well as Pharmaceutical resource needs and deliver qualified consultants•Sourcing and screening potential candidates from effective usage of Internal Systems / Database, Job Portals, Postings, and Networking within the time frame•Maintain the database of candidates along with all follow-up related information•Posting vacancies on portals. Match the profile of the candidate on technical grounds•Responsible for negotiation, paperwork validation, and closed candidates for assigned requisitions.•Responsible for editing and formatting resumes matching the consistency and giving visual and technical perfection to them for presenting it to clients.•Maintaining Candidate/Vendor relations on the progress of submittals made, Interview Coordination, and taking care of the joining formalities, background checks, references, coordination with the internal accounting team and for timesheets, etc.•Ensure the target is met in terms of required submittals daily as well as a required number of placements.

Katalyst Healthcare's & Life Sciences (Katalyst HLS) is a Global Contract Clinical Research Organisation that provides End-to-End Services for Healthcare and Life Sciences companies globally. At Katalyst HLS offers ICH-GCP compliant clinical trial services from Phase I–IV in all key therapeutic areas to support clinical development and research requirements and also provides validation services for Pharma/Bio-Pharma/Medical Device industries. Services:Clinical Trial ManagementClinical Data ManagementBiostatistics & Statistical ProgrammingMedical WritingPharmacovigilanceQuality and Regulatory AffairsGMP, GLP, and GCP ValidationsManufacturing Process ValidationsEquipments & Instruments ValidationsComputer Systems ValidationsHuman Resourcing

Monitoring insurance denials by running reports and contacting insurance companies to resolve and recover denied claims. We help in reducing our clients’ revenue cycle. Minimize delays, denials considerably and we improve collections by reducing write-offs. Understanding of ICD-10 and CPT coding. Have experience in Medicare, Medicaid, BCBS, Workers Comp, and Commercial insurance follow-up. Contact payers in order to obtain claim status and aggressively pursue the resolution of claims. Daily focus on attaining productivity and quality standards, recommending new approaches for enhancing performance and productivity when appropriate. Monitoring aging reports for timely follow-up on unpaid claims. Monitoring accounts receivable daily through collector work lists, review, and follow-up on third party account balances consistent with the methodology of the department. Verifying patients’ insurance coverage with primary, secondary payers by making calls to the payers and checking through their authorized online insurance portals for Patient responsibilities such as co-pays, co-insurance, and deductibles. Updating the medical billing system with eligibility and verification details such as member ID, group ID, coverage period, co-pay information, and other benefit information. Independently manage and monitor daily work related to the resolution of third-party payer accounts receivable. Working collaboratively with other staff, Team Leads, Managers, and practice staff.

Review and/or input all charges related to the assigned client’s professional services into the EMR software system including office and related charges in accordance with client protocol with an emphasis on accuracy to ensure timely reimbursement and maximum patient satisfaction. All charge batches should balance in both a number of procedures and total dollar prior to posting.- Post all payments, by line-item, received for physician’s professional services into EMR software system including co-payments, insurance payments, and patient payments in accordance with practice protocol with an emphasis on accuracy to ensure maximum patient satisfaction and profitability. - Post all credit and debit adjustments to patient accounts with strict adherence to the guidelines of the Company.- Follow-up on all outstanding insurance claims at 30-days from the date of service in accordance with practice protocol with an emphasis on maximizing patient satisfaction and practice profitability.- Follow-up on all outstanding patient account balances at 60-days from the date of service in accordance with practice protocol with an emphasis on maximizing patient satisfaction and practice profitability using the A/R aged reports.- Follow-up on all returned claims, correspondence, denials, account reconciliations and rebills within five working days of receipt to achieve maximum reimbursement in a timely manner with an emphasis on patient satisfaction.- Submit primary and secondary insurance claims electronically each day and on HCFA to ensure timely reimbursement.- Monitor reimbursement from managed care networks and insurance carriers to ensure reimbursement consistent with contract rates.- Proficiency with all facets of the EMR software system including patient registration, charge entry, insurance processing, advanced collections, reports, and ledger inquiry.- Adhere to all practice policies related to HIPAA and Medicare Compliance.