Prathmesh Koli Email & Phone Number

Mumbai, Mh, In

Mumbai, Mh, In

Mumbai, Maharashtra, India

*Resolve payer rejections and denials through the appeals process as required by each payer.*Follow up with insurance companies regarding the status of outstanding claims and necessary steps for resolution.*Answer and review pertinent insurance correspondence to insure complete and accurate reimbursement for medical claims.*Meet or exceed productivity and quality metrics.Responsible for working payer correspondence, edits and aged account receivable and identifying and correcting billing errors.*Research payer rules and regulations to maintain current payer knowledge.*Compose correspondence including claim forms, appeals, and notifications to applicable parties.*Contact and educate patients and guarantors regarding necessary steps to resolve an outstanding insurance balance while providing exemplary customer service.*Complies with HIPAA and other compliance requirements to protect patient confidentiality.*Adhere to benchmarks and strive for continuous improvement on metrics such as touches to resolution, appeal resolution rate, and average work time per claim.

Mumbai, Maharashtra, India

*Resolve payer rejections and denials through the appeals process as required by each payer.*Follow up with insurance companies regarding the status of outstanding claims and necessary steps for resolution.*Answer and review pertinent insurance correspondence to insure complete and accurate reimbursement for medical claims.*Meet or exceed productivity and quality metrics.Responsible for working payer correspondence, edits and aged account receivable and identifying and correcting billing errors.*Research payer rules and regulations to maintain current payer knowledge.*Compose correspondence including claim forms, appeals, and notifications to applicable parties.*Contact and educate patients and guarantors regarding necessary steps to resolve an outstanding insurance balance while providing exemplary customer service.*Complies with HIPAA and other compliance requirements to protect patient confidentiality.*Adhere to benchmarks and strive for continuous improvement on metrics such as touches to resolution, appeal resolution rate, and average work time per claim.

Mumbai, Maharashtra, India

● Established and maintained contact with clients to conduct follow-up and feedback. Managed and collaborated with members of different departments to execute projects and make timely delivery. ● Created and maintained a friendly environment for vendors and improved workflow for smooth delivery of the project for clients.● Generated and Maintained Expense reports on excel to track expenses and managed to prepare an effective budget minimizing miscellaneous expenses by 50%.● Proposed and implemented recommendations like dinner nights and outing for team members to build better relationships and understanding between team members to improve productivity and minimize conflict of interest.

Mumbai Area, India

● Communicated with customers through email and phone for collection and follow-ups.● Collaborated with a senior executive to maximized the collection by 10% daily.● Maintained the record of receivable and prepared the receivable tracking sheets.● Created and issued proforma invoices and delivered final invoices promptly.● Performed other accounts and documentation-related work assigned by the senior finance manager.

Master Of Science - Ms, Banking & Finance ( Economics)., 8/10

Activities and Societies: Participated in European Students Network (ESN) of vilnius university cultural Programme, Respresented India.

Diploma In Medical Coding And Billing, Health/Health Care Administration/Management, 92%

This medical administration course defines various medical jargon terms and explores human anatomy and physiology. This information is.

Bachelor'S Degree, Business Administration And Management, General, 8/10

logistics, business operations management, business economics, international economics.

Bachelor’S Degree, Business Administration And Management, Finance, Outstanding

Activities and Societies: Took part in various management and sports event at Business school.In general, course work for a bachelor's.

High School, Business/Commerce, General, 1St Class

Activities and Societies: National cadet corp.Book keeping and accountancy, economics, secretial practice.

Higher National Diploma, Medical Coding And Billing, 92%

Certificate Of Proficiency, Standards Of Training, Certification, And Watch Keeping

Personal Survival Techniques, Fire Prevention & Fire Fighting, Security training for seafarers with designated security duties, Medical.