Sweety Jain Email and Phone Number

Analyzed patient records in google docs to ensure accurate coding of diagnoses and procedures using ICD-10 system.Processed billing for services to all payors, including submission of electronic claims for public programs, hard copy claims on HCFA 1500s.Assigned appropriate codes for medical billing purposes.Processed medical claims for reimbursement from insurance companies and patients, ensuring compliance with regulations.Conducted medical collections as necessary, following up on unpaid claims or outstanding balances.Ensured all medical records are accurately documented and maintained in accordance with HIPPA privacy regulations.Attended meetings and participates in committees as requested.Learnt about child behavioral group like ABA, Autism Spectrum, ADHD.

Streamlined administrative processes, resulting in a 25% reduction in patient wait times and improved patient satisfactionImplemented an electronic medical records system, leading to a 50% reduction in paperwork and increased efficiency in patient care Managed a team to 5 administrative staff and provided training and supervised daily staff activities.Developed and implemented training programs for staff, resulting in improved job performance andreduced errorsOversaw financial operations, including billing and insurance reimbursementSupervised daily medical office operations managing a staff of 5 employees, specializing in internal, occupational and cosmetic medicine. Responsibilities include administration, billing, policies and proceduresTrained all staff, supervised daily staff activities and establishing and effective and smooth work environmentEnsured the practice met current medical laws like HIPAA, regulations and ethicsManaged and fixed schedules of physicians and staffChecked patients in and out, prepared files, answered multi-phone lines completing all request for scheduling patients verified insurance coverage, called in prescriptionsPrepared all outgoing referrals to the specific specialist office and faxed the medical recordsFacilitate urgent scheduling of MRI’s and CT scans for patientsGained knowledge of workers compensation rules and regulations and informed injured workers of all the treatment plan and processed referralsScheduled New Workers comp patients, QME, IME, Firefighters physical, Pre-Employment physicalsGenerated and established pipeline for Sculpture (Cosmetic Laser Machine) gained knowledge and market the product and made pre-treatment consultation appointments with clients and evaluated their needsExplained procedures and options of Sculpture, prepared and designed documents describing the serves offered by the clinic and their pricesPlanned, coordinated and supervised delivery quality care to patients

Developed and implemented business plans, strategies, and budgets to achieve company goalsBuilt and maintained relationships with clients and vendors, negotiated contracts and agreements toensure mutually beneficial partnershipsMaintained relationships with key clients, ensuring customer satisfaction and retentionAnalyzed financial data and performance metrics, identifying areas for improvement and cost-savingopportunities

Reviewed insurance claims for accuracy and completeness, and ensure timely submission of claimsVerified patient eligibility and benefits coverage and obtain authorization for medical procedures Communicated with insurance companies, patients, and healthcare providers to resolve insurance-related issuesPerformed tasks like answering phone calls, scheduling appointments and follow-up on no shows/cancellation of appointmentsChecked patient and maintained detailed patient records/paperworkVerified insurance benefits and eligibility, explaining coinsurances and treatment plans to patientHandled Daily Cash, EFT’s, Data entry, Filing, Mail, and Ordering SuppliesProud association with Industry Leading Invisalign Provider in Central ValleyConsistently praised by management for increasing successful business appointments.