Vaishali Sharma Email & Phone Number

• Working on Physician Billing claims for different providers from the different states of U.S.
• Ensure complete review of claims and forward to correct insurance companies.
• Handle Appeals using established guidelines to resolve claim denials with a goal of one contact resolution and Submit an appeal via Fax, Mail and Portals.
• Identifying issues and trends that result in non-payment of claim due to internal/external review, elevating significant issues to the Supervisor and denied, Non-paid, non-adjudicated claims, billing issues due to.
• Performing following-up activity on outstanding physician claims under the direction of my accounts receivable supervisor.
• Perform Internal Audit of the Team.

Gondia, Maharashtra, India

• Working on Hospital Billing claims for different providers from the different states of UK.
• Identifies root causes of insurance denials, sends appeals to the payor, and strives to minimize lost revenue.
• Analyze the denial reasons of appeal given by the insurance and decide the necessity of the need next level of the appeal.
• Medical Record and appeal submission
• Constantly keep track of both electronic and Email submission of appeals.
• Always be watchful for any major rejections or denials –clearing house/carrier.

Gondia, Maharashtra, India

• Working for resolution of medical claims for different providers from Ohio and Tennessee state.
• Identifies root causes of insurance denials, sends appeals to the payor, and strives to minimize lost revenue.
• Analyze the denial reasons given by the insurance and decide the necessity of the need of the appeal
• Constantly keep track of both electronic and paper claims.
• Always be watchful for any major rejections or denials –clearing house/carrier.
• Constantly watch out for payments and EOBs from major carriers, Pay-to address, provider numbers, etc.

Master Of Commerce, Business/Commerce, General

Bachelor Of Commerce - Bcom, Business/Commerce, General