Binta Rami
Round Lake,Illinois
Summary
Detail-oriented Medical Billing Specialist with over 9 years of experience in healthcare administration, claims analysis, and regulatory compliance. Proven track record in optimizing revenue cycles by investigating denied claims and ensuring 98%+ accuracy in insurance verification. Committed to maintaining strict HIPAA standards while streamlining technical documentation and cross-functional operations.
Healthcare professional with robust background in medical claims analysis and resolution. Adept at streamlining claim processing workflows and ensuring adherence to industry regulations. Valued team player with focus on collaboration and achieving optimal results, exhibiting flexibility to adapt to evolving demands. Proficient in medical coding, data analysis, and regulatory compliance, showcasing reliability and results-driven mindset.
Experienced with medical claims analysis, ensuring accuracy and compliance in claim processing. Utilizes analytical skills to identify and resolve billing discrepancies efficiently. Knowledge of healthcare regulations and coding practices to streamline processes and enhance claim accuracy.
Overview
18
18
years of professional experience
Work History
Medical Claims Analyst
Lake County ENT
02.2016 - 12.2025
- Managed the full lifecycle of medical insurance claims, achieving high accuracy rates through meticulous documentation review.
- Investigated and resolved denied or underpaid claims, recovering lost revenue through proactive communication with insurance providers.
- Verified patient eligibility and authorization requirements to prevent billing discrepancies and delays.
- Collaborated with healthcare staff and patients to provide transparent updates on claim status and financial responsibility.
- Maintained 100% compliance with HIPAA and healthcare billing regulations during all data handling and external reporting.
- Analyzed medical claims for accuracy and compliance with industry regulations.
- Reviewed and resolved discrepancies in claim submissions to ensure timely payments.
- Implemented process improvements to enhance claim processing efficiency.
- Collaborated with healthcare providers to gather necessary documentation for claims resolution.
- Trained junior analysts on best practices for claim review and analysis procedures.
OperationsSpecialist.Operator and Inspector Device
Argon Medical Devices
11.2008 - 01.2016
- Achieved high standards in catheter production for medical purposes. Improved quality assurance protocols for device inspections prior to customer dispatch.
- I Utilize different measuring tools, as well as perform calibration on inspection instruments in Argon devices
- Complete all paperwork associated with the job packet neatly and accurately following Argon medical Devices Good Documentation Practices.
- We also Inspect products following company and industry standards
- Executed comprehensive testing protocols for medical devices, guaranteeing safety and alignment with regulatory guidelines.
- Supported data gathering and technical documentation efforts to enhance product development and refinement processes.
- Engaged with engineering and quality assurance teams to enforce comprehensive safety standards across the entire product lifecycle.
- Facilitated timely delivery of mail and parcels, contributing to enhanced communication. Achieved improved organization of paperwork, resulting in increased productivity. Drove efforts to maintain systematic records for better accessibility.
- Monitored printer performance and addressed errors promptly to enhance operational efficiency.
- Streamlined operational workflows to enhance efficiency and reduce turnaround times.
- Developed and implemented process improvements to optimize resource allocation and productivity.
Manager
SUBWAY®Restaurants
07.2007 - 07.2012
- Making subway sandwiches and helping customer.
- Oversaw daily operations, ensuring adherence to company standards and procedures.
- Trained and mentored team members to enhance service quality and efficiency.
- Implemented inventory management strategies, reducing waste and optimizing stock levels.
- Developed staff schedules to maintain optimal coverage during peak hours.
Education
Certified Coding Specialist (CCS) -
Online Institution
03.2019
Master of Science -
I.B. Patel Commerce College
Gujarat, India04.2001
Skills
- Revenue Cycle: Claims Processing, Denial Management, Accounts Receivable (AR) Follow-up
- Technical Skills: Insurance Verification, CPT/ICD-10 Coding, EHR/EMR Systems (eg, Epic, Cerner)
- Compliance: HIPAA Regulations, Medical Terminology, Safety & Quality Standards
- Operations: Technical Documentation, Data Collection & Analysis, Regulatory Reporting
- Calling Patients for to get Payment for balance
- Also calling Insurance to get payments from Insurance for balance
- Make an appointment for patients
- Send statements to patients
- Claims processing proficiency
- HIPAA compliance
- Training and mentoring
- Healthcare regulations
- Medical terminology
Websites
Accomplishments
- Used Microsoft Excel to develop inventory tracking spreadsheets.
- Collaborated with team of [Number] in the development of [Project name].
- Achieved [Result] by completing [Task] with accuracy and efficiency.
- Supervised team of [Number] staff members.
- Achieved [Result] by introducing [Software] for [Type] tasks.
- Documented and resolved [Issue] which led to [Results].
- Achieved [Result] through effectively helping with [Task].
Affiliations
- Society of Women Engineers
Languages
Hindi
Full Professional
English
Full Professional
Gujarati
Native or Bilingual
Interests
- Enjoy participating in [activity] for overall physical and mental well-being
- Documenting and sharing travel experiences
- Community Cleanup
- Tech enthusiast, passionate about exploring the latest advancements and innovations
- Graphic Design
- Knitting and Crocheting
Timeline
Medical Claims Analyst
Lake County ENT
02.2016 - 12.2025
OperationsSpecialist.Operator and Inspector Device
Argon Medical Devices
11.2008 - 01.2016
Manager
SUBWAY®Restaurants
07.2007 - 07.2012
Certified Coding Specialist (CCS) -
Online Institution
Master of Science -
I.B. Patel Commerce College