Summary
Overview
Work History
Education
Skills
Timeline
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KARMJIT K. SOHI

Kalamazoo,USA

Summary

Top-performing administrative professional with extensive experience in medical office environments. Proven ability to enhance patient care through effective communication, scheduling, and coordination with healthcare teams. Strong background in customer service, billing, and compliance, ensuring operational efficiency and accuracy.

Overview

26
26
years of professional experience

Work History

Patient Service Associate

Western Michigan University Sindecuse Health Center
Kalamazoo, USA
01.2021 - Current
  • The Patient Service Associate works in a customer service capacity, providing administrative and clerical support to patients and customers in outpatient clinics and/or medical offices.
  • Patient Registration & Scheduling: Registered new patients, updated demographic and insurance information, and scheduled appointments based on urgency to enhance patient access.
  • Check-in/Check-out Services: Managed patient flow, scanned documents into electronic system, and provided appointment preparation instructions to ensure efficient service delivery.
  • Financial Duties: Collect co-pays and payments, reconcile daily cash collections, and verify insurance coverage.
  • Communication: Handled telephone triage, answered patient billing questions, and managed in-basket messages to improve patient satisfaction and resolve inquiries promptly.
  • Administrative Support: Coordinate with medical assistants and providers to ensure seamless patient care, maintain records in compliance with HIPAA, and assist with clinic preparation.

Billing SPECIALIST

Ascension Medical Group ProMed Physicians
Portage, USA
01.2016 - 01.2021
  • Utilize knowledge of the revenue cycle and patient accounts to ensure claims are submitted in a timely manner.
  • Submitted insurance claims daily for assigned medical groups, ensuring compliance with billing standards.
  • Corrected system errors and resolved payer rejections, facilitating timely claims processing.
  • Conducted medical coding to accurately correct and resubmit claims.
  • Coordinated efforts with AR, payment, and customer service departments to streamline claims resolution.
  • Proficient in a variety of practice management software applications.
  • Dedicated to maintaining strict patient confidentiality.
  • Adhered to HIPAA procedures to maintain patient confidentiality and data security.

Clinical Coder/Patient Service Associate

ProMed Physicians
Portage, USA
01.2014 - 01.2021
  • The Clinical Coder applies the appropriate diagnostic and procedural code to patient health records for purposes of document retrieval, analysis, and claim processing.
  • The Patient Service Associate works in a customer service capacity, providing administrative and clerical support to patients and customers in outpatient clinics and/or medical offices.
  • Obtain and verify insurance authorizations/precertification.
  • Complete medical record release requests and schedule/confirm patient appointments.
  • Enter, review, and submit charges for patient procedures and services daily.
  • Collected copayments and reconciled daily reports and deposits for accuracy, ensuring financial integrity of services provided.
  • Abstract pertinent information from patient records.
  • Assigned the International Classification of Diseases, Clinical Modification (ICD), Current Procedural Terminology (CPT), or Healthcare Common Procedure Coding System (HCPCS) codes, creating the Ambulatory Patient Classification (APC) or Diagnosis-Related Group (DRG) assignments.
  • Queried physicians regarding unclear or inadequate documentation to ensure accurate code assignments and compliance with coding standards.
  • Keep abreast of and comply with coding guidelines and reimbursement reporting requirements.

EDI (Electronic Data Interchange) Billing SPECIALIST

BORGESS
Kalamazoo, USA
01.2013 - 01.2014
  • The EDI Billing Specialist submitted insurance claims daily for assigned medical groups.
  • Utilize knowledge of the revenue cycle and patient accounts to ensure claims are submitted in a timely manner.
  • Corrected system edits, enhancing accuracy of billing processes.
  • Performed medical coding to ensure accuracy in claims submissions, reducing potential rejections.
  • Coordinated with AR, Payment, and Customer Service departments to synchronize workflows, improving overall claim processing effectiveness.
  • Proficient in a variety of practice management software applications.
  • Dedicated to maintaining strict patient confidentiality.
  • Adhered to HIPAA procedures to protect patient information.

CLIENT SERVICE SPECIALIST

SUNTRUST BANK
Destin, USA
01.2009 - 01.2013
  • Delivered individualized financial solutions to enhance client satisfaction and loyalty.
  • Consulted clients and made referrals by effectively utilizing research skills to address their needs.
  • Employ supervisory ability to ensure compliance with internal controls, operational procedures, and risk management policies.
  • Completed training on product features and services to improve client interactions.

LEAD CASHIER/SALES ASSOCIATE

POLO RALPH LAUREN FACTORY STORE
Sandestin, USA
01.2008 - 01.2013
  • Exceeded profitability goals through strategic personal sales techniques.
  • Utilized product knowledge to effectively upsell and educate customers.
  • Applied point of sale knowledge to process needed transactions.
  • Supported implementation of asset protection strategies to secure company resources.

TELLER

SUNTRUST BANK
Destin, USA
01.2009 - 01.2012
  • Demonstrated analytical and technological proficiency by executing basic, advanced, and complex transactions.
  • Identified and seized referral opportunities through evaluative skills, contributing to branch growth.
  • Collaborated proactively with branch partners to enhance service delivery and customer satisfaction.

PERSONAL BANKER/SENIOR TELLER

VANGUARD BANK & TRUST
Destin, USA
01.2005 - 01.2007
  • A personal banker independently manages the teller station to ensure accurate transactions and superior service.
  • Maximized personal sales and promoted bank services to achieve projected goals.
  • Managed employee training and prepared monthly reports to support team performance.

SERVICE MANAGER

KASCO INC.
01.2003 - 01.2005
  • Effectively managed vendor relations, department-wide accounts, and ten associates.
  • Managed daily operations of service department for KASCO INC.
  • Oversaw customer service interactions and resolved complaints effectively.
  • Trained and mentored staff to enhance service delivery and performance.

PRODUCTION ANALYST

BURLINGTON COAT FACTORY CORP.
01.2000 - 01.2003
  • Devised procedures and managed data for three warehouses to maintain performance standards.
  • Analyzed production data to identify trends and improve efficiency.
  • Collaborated with teams to streamline inventory management processes.
  • Monitored workflow to ensure adherence to quality standards.

Education

Bachelor of Science - Mathematics

Rowan University
Glassboro, NJ

Skills

  • Patient Records Management
  • Insurance Verification
  • Patient Follow-Up
  • Workflow Optimization
  • Data Analysis
  • Scheduling
  • Microsoft Office
  • Team Management
  • Management
  • Problem Solving
  • Customer Service
  • Communication

Timeline

Patient Service Associate

Western Michigan University Sindecuse Health Center
01.2021 - Current

Billing SPECIALIST

Ascension Medical Group ProMed Physicians
01.2016 - 01.2021

Clinical Coder/Patient Service Associate

ProMed Physicians
01.2014 - 01.2021

EDI (Electronic Data Interchange) Billing SPECIALIST

BORGESS
01.2013 - 01.2014

CLIENT SERVICE SPECIALIST

SUNTRUST BANK
01.2009 - 01.2013

TELLER

SUNTRUST BANK
01.2009 - 01.2012

LEAD CASHIER/SALES ASSOCIATE

POLO RALPH LAUREN FACTORY STORE
01.2008 - 01.2013

PERSONAL BANKER/SENIOR TELLER

VANGUARD BANK & TRUST
01.2005 - 01.2007

SERVICE MANAGER

KASCO INC.
01.2003 - 01.2005

PRODUCTION ANALYST

BURLINGTON COAT FACTORY CORP.
01.2000 - 01.2003

Bachelor of Science - Mathematics

Rowan University
KARMJIT K. SOHI