Hinal Kothiya Email & Phone Number

Ahmedabad, Gujarat, India

• Audited posting processes for 20 practices, reducing errors by 25% and boosting client satisfaction and user productivity.• Conducted thorough audits using payment posting, billing analysis, and script-based reports, leading to a 20% reduction in claim denials.• Executed transaction-based audits at payment and claim levels, increasing accuracy by 30%.• Handled secondary insurance claims by verifying patient's eligibility and submitting them to secondary … Show more • Audited posting processes for 20 practices, reducing errors by 25% and boosting client satisfaction and user productivity.• Conducted thorough audits using payment posting, billing analysis, and script-based reports, leading to a 20% reduction in claim denials.• Executed transaction-based audits at payment and claim levels, increasing accuracy by 30%.• Handled secondary insurance claims by verifying patient's eligibility and submitting them to secondary insurers.• Identified errors by sampling high-balance claims, in case of error at the payment or claim level notifications were sent for correction to users.• Conducted bank deposit reconciliations, ensuring a 99% accuracy rate.• Thoroughly audited payment posting transactions to ensure compliance with industry standards and policies.• Identified discrepancies and worked with billing and coding teams to resolve bulk denials and billing- related denials promptly.• Developed and implemented quality assurance processes to streamline workflows and enhance efficiency.• Generated detailed audit reports and provided actionable recommendations for process improvement.• Worked with cross-functional teams to address root causes of payment posting errors and implemented corrective actions, also, focused on major claim denials received from payers, identified root causes, and coordinated with billing and AR teams to reduce future denials and increase practice collections.• Participated in regular training sessions to educate payment posting staff on best practices and compliance requirements. Show less

Ahmedabad, Gujarat, India

• Accurately posted and reconciled payments from insurance companies, patients, and third-party payers, maintaining a 98% accuracy rate.• Investigate and resolve payment discrepancies and denials to maintain accurate accounts receivable balances.• Accurately post ERA/EOB received from clients and downloaded from payers' web portals.• Address and resolve claim denials efficiently.• Perform bank deposit reconciliations.• Prepare and generate monthly collection… Show more • Accurately posted and reconciled payments from insurance companies, patients, and third-party payers, maintaining a 98% accuracy rate.• Investigate and resolve payment discrepancies and denials to maintain accurate accounts receivable balances.• Accurately post ERA/EOB received from clients and downloaded from payers' web portals.• Address and resolve claim denials efficiently.• Perform bank deposit reconciliations.• Prepare and generate monthly collection reports.• Handled secondary insurance claims, improving secondary claim approval rates by 20%. Show less

Bachelor'S Degree, Biomedical/Medical Engineering

Diploma Of Education, Biomedical/Medical Engineering