Ashika Prasad

• Process HMO files from health plan to report eligibility changes.
• Added coverage records, including location and PCP information.
• Collaborated with team members to maximize productivity and efficiency.

Accountable for analyzing, identifying and performing recovery billing function in accordance to Sutter Health.

• Client’s health plan/ provider contracts to ensure maximum reimbursement received from health plan.
• Resolution of patient records using Recovery Management Tool.

• Interface with insurance companies to resolve issues with unpaid claims.
• Evaluate claims and properly code denial and rejection reasons using IDX systems.
• Appealed denied claims, research and gather supporting documents (using Epic systems) to appeal on denied claims.