DEVAL PATEL

Intake Financial Specialist

MERCALIS

05.2023 - 04.2025

Healthcare Reimbursement Knowledge: Proficient in understanding and applying healthcare reimbursement rules and regulations.
Investigate and resolve discrepancies and disputes in a timely and professional manner.
Claim Processing: Experienced in processing, reviewing, and following up on claims, including claim process denials and appeals, providers payment claims and billing codes.
Skilled in using healthcare-specific software like Epic, Cerner, and other relevant systems.
Communication Skills: Excellent written and verbal communication skills for interacting with providers, patients, and payers.
Compliance: Thorough understanding of compliance regulations, including HIPAA and other relevant laws.
Maintain up-to-date records and ensure compliance with internal policies and financial regulations.
Collaborated with healthcare providers to obtain necessary documentation for accurate billing and reimbursement.
Maintained up-to-date knowledge of Medicaid regulations, ensuring full compliance in all billing practices with the Mercalis products covered.
Contributed to a positive work culture through effective collaboration and open communication with peers and supervisors alike.
Served as a reliable source of information for provider colleagues regarding changes to Medicaid policies.
Conducted comprehensive research to resolve complex billing issues, securing proper payment for services rendered.
Enhanced billing accuracy by diligently reviewing Medicaid claims and identifying discrepancies with the products covered by Mercalis.
Responded to customer and providers concerns and questions on daily basis.
Assisted providers in understanding their rights under HIPAA laws through consultations, increasing satisfaction rates among patients concerned about privacy issues.
Ensured full HIPAA compliance by conducting regular audits and reviewing policies and procedures.