PALEMONI KARTHIK KUMAR
Senior Executive In-Patient Billing Department
Hyderabad
Summary
To utilize my expertise in hospital billing, insurance and Cash processes as a Senior Executive, ensuring accurate claims management and timely reimbursements, while contributing to the hospital’s operational excellence and advancing my own professional and personal development.
Overview
8
8
years of professional experience
6
6
years of post-secondary education
3
3
Languages
Work History
Senior Executive - Billing
KIMS Hospital
11.2022 - Current
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Assisted coding specialists in understanding complex medical scenarios that required special attention during claim submission.
- Expedited payment turnaround time with efficient follow-up on outstanding claims, addressing issues as necessary.
- Trained new employees on multiple medical billing programs and data entry software.
- Participated in regular audits of billing processes to maintain high-quality performance standards and identify areas for improvement.
- Collaborated with the finance department to maintain consistency in cash flow projections based on receivables data analysis.
- Ensured timely reimbursement for services by submitting clean claims to insurance carriers promptly.
- Provided training sessions for new employees on best practices in medical insurance billing procedures and guidelines.
- Improved patient billing accuracy by diligently reviewing and editing medical insurance claims.
- Supported team members in resolving complex or escalated billing issues, fostering a positive work environment focused on problemsolving.
Medical Biller
CARE Hospitals
11.2019 - 10.2022
- Verified insurance of patients to determine eligibility.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Reviewed patient records, identified medical codes, and created invoices for billing purposes.
- Improved patient satisfaction levels with clear explanations of their financial responsibilities and available payment options.
- Worked with multiple departments to check proper billing information.
- Researched and resolved billing discrepancies to enable accurate billing.
- Collaborated with the collections team to recover overdue payments from clients, maintaining cash flow and minimizing writeoffs.
Analyst
Wipro
07.2019 - 10.2019
- Collaborated with cross-functional teams to identify opportunities for process improvement and increased efficiency.
- Improved internal knowledge sharing by developing comprehensive documentation outlining standard operating procedures for various tasks.
- Increased efficiency by streamlining data analysis processes and implementing automation tools.
Customer Care Executive
BENERG Pvt LTD
11.2017 - 06.2019
- Maintained up-to-date knowledge of industry trends and product offerings to better serve customers.
- Increased repeat business, fostering strong relationships with clients through exceptional service delivery.
- Built strong relationships with customers, reaching out proactively to ensure satisfaction and gather feedback.
Education
BSC -
H.R.D Degree and P.G College
01.2014 - 01.2017
Intermediate - undefined
Sri chaitanya junior college
01.2012 - 01.2014
High School - undefined
Sri sai grammar high school
01.2011 - 01.2012
Skills
MS Office
Operations management
Report preparation
Mail handling
Staff management
Corporate communications
Business development
Disclaimer
I hereby declare that the information furnished above is true to the best of my knowledge.
Timeline
Senior Executive - Billing
KIMS Hospital
11.2022 - Current
Medical Biller
CARE Hospitals
11.2019 - 10.2022
Analyst
Wipro
07.2019 - 10.2019
Customer Care Executive
BENERG Pvt LTD
11.2017 - 06.2019
BSC -
H.R.D Degree and P.G College
01.2014 - 01.2017
Intermediate - undefined
Sri chaitanya junior college
01.2012 - 01.2014
High School - undefined
Sri sai grammar high school
01.2011 - 01.2012
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