Samuel Vishwanathan

  • Vellore Tamil Nadu, India
Samuel Vishwanathan

Medical Billing Specialist

OBJECTIVE

To obtain a challenging position in a career oriented Insurance, clinic or hospital utilizing my office and computer skills, and assist in efficient productive company operations.

QUALIFICATIONS

  • Over Seven years’ experience working as a Medical Billing Specialist.
  • Highly skilled in maintaining strong relations with providers, clients and patients.
  • Demonstrated ability to verify data of individuals on the plan.
  • Able to review and reconcile invoices.
  • Strong knowledge of medical terminology.

TECHNICAL EXPERTISE

. CPT / ICD-9 . MS Excel, Word, Outlook . Medicare and Medicaid . HIPAA Regulations

Work History

Work History
Dec 2012 - Present

Team Supervisor

ALLZONE Management

Solution — Team Supervisor Responsibilities include: Handling a Team of 15 members, downloading the AR reports from the Client software & assigning work orders to the Team members. Tracking the Production with quality, auditing the accounts & marking the errors which need to be reworked by the individual users. Maintaining audit reports for each day & providing necessary feedback to the Individual users. Assisted in the training & integration of new-hire counterpart.

Apr 2010 - Nov 2012

Senior Billing Analyst

E4E HealthCare
— Senior Billing Analyst Handle the tasks of identifying, researching, and resolving problems within customer accounts. Billing for Medicare, Medicaid and all commercial carriers, following up on unpaid accounts or denying claims for their status, heavy data entry tasking, answering phones, filing, faxing and copying documents. Handle the tasks of identifying payment discrepancies and initiate dispute resolution process Responsible for client billing adjustments and issuance of client refund checks for over payment Monthly processing of Patient statements. Answer and resolve patient billing inquires
Aug 2008 - Apr 2010

Ar Caller

Omega HealthCare
— AR Caller 1 Calling the Insurance for Primary & Secondary Claim status. Retrieve Electronic Remittance Advice(ERA's) Send secondary claims upon processing of primary insurance. Follow up on Insurance and patient aging. Re-submit insurance claims as necessary. Knowledgeable.

Education

Education
Apr 2012 - Mar 2015

BBA

Dr CV Raman University

Business Management 

Apr 2003 - Apr 2005

High School

Guru Teg Bahadur Public School

Commerce

MAJOR ACCOMPLISHMENTS

• Gathered appropriate documentation for claims submission
• Successfully completed Greater than 180 days ageing Claims in a month time
• Achieved Employee of the month Award in 2010 for positive and dedicated attitude during work hours

SPECIAL SKILLS

  • Specialties worked: Emergency, OBG, Mental Health, All Therapy services
  • Familiar with Federal, Private and commercial insurances
  • Hands-on experience in EDI and ERA posting procedures
  • Excellent customer service skills
  • Exceptional telephone etiquette

LANGUAGES KNOWN

English, Hindi, Tamil, Bengali

PERSONAL DETAILS

Father Name: M Kashi Vishwanathan
Date of Birth: 04 /12/1984
Nationality: Indian
Marital Status: Married


Passport Details: Passport Number - M7325067
Expiry Date - 26/02/2025

REFERENCES

References available upon request.