Niket thakkar
Grayslake,IL
Summary
Customer-oriented, strategic-thinking sales professional and entrepreneur with over 3 years of experience in building relationships, cultivating partnerships, retaining top accounts and growing profit channels. Multi-tasking and self-motivated leader with expertise on expanding network connections, persuasively introducing products, implementing pricing models, inventory control and projections, distributor relations, territory development and revealing customer needs to deliver solutions. Energetic road warrior with commission-only positions for the last 3 years. A tactical team builder and energetic strategic planner seeking to leverage background into an account representative or manufacturer's representative role with a progressive organization.
Overview
9
9
years of professional experience
Work History
Insurance Specialist 2
AbbVie
North Chicago, IL
01.2022 - Current
- Provided subject matter expertise and best-in-class customer service for all inbound and outbound customer calls to drive fast call resolution. Provided Insurance coverage, verification details prior authorization status and alternate funding options for existing and newly launched products.
- Provided offices with current plan forms, portals and websites for prior authorizations and appeal submissions. Clearly communicated and educated customers on results of the investigation.
- Investigated and solved problem for patient's experiencing escalated issues such as disadvantaged or complex access, Savings card/Co-pay card challenges or non-preferred formulary issues. Where necessary, Completed benefits investigations, contacted the HCP and/or patient's or potentially the filling pharmacy or payors.
- Provided trainings to new hired employees.
- Placed under the leadership path by the Supervisor due to excellent performance.
- Provided guidance to the team as required with new process or procedures.
- Quick learner to execute business process and system changes for all drugs and channel sources.
- Accountable with the work in submitting accurate escalations for the Savings card issues after a careful Benefits investigations.
- Developed a working knowledge of insurance plans, including Medicare and Medicaid regulations and requirements.
- Assisted in resolving claim issues related to billing and reimbursement inquiries.
- Verified patient eligibility for insurance coverage by contacting insurance carriers and obtaining the necessary authorization numbers.
Emergency Room Registrar
Advocate Condell Medical Center
Libertyville, IL
05.2019 - 01.2022
- Present during EPIC GO-LIVE.
- Fluent user of EPIC for registration process, collected co-pays, verified insurances.
- Communicated clearly and listened attentively throughout the interview process to facilitate the exchange of information
- Accessed patient information through a variety of office software applications
- Checked claims for errors, corrected issues and mailed out in a timely manner
- Coordinated between patients and healthcare professionals to meet patient needs
- Worked with nurses and other clinical staff to process patients and direct to appropriate departments
- Collected and processed copayments and out-of-pocket charges using Web Pay, ALLEGRA, EPIC
- Coordinated review, revision and creation of operational policies within emergency department
- Maintained HIPAA compliance across all patient data-handling, systems and training
Medical Billing Specialist
Alltran
Sartell, MN
12.2018 - 04.2019
- Identified errors and re-filed denied or rejected claims in a timely manner
- Applied payments, adjustments and denials into medical manager system
- Posted and adjusted payments from insurance companies
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements
- Contacted patients for unpaid claims for HMO, PPO and private accounts and performed friendly follow-ups to ensure proper payments were made according to contracts
- Accurately entered procedure codes, diagnosis codes and patient information into billing software
- Kept detailed and accurate documentation of payments, charges and write-ups of cardiovascular procedures.
- Collaborated in a close fashion with other departments to resolve claims issues
Front Office Manager
Super 8 Motel
St.cloud, MN
09.2017 - 12.2018
- Created an official company page on Facebook to facilitate interaction with customers.
- Resolved customer complaints by exchanging merchandise, refunding money and adjusting bills.
- Planned and executed promotional events in-site to increase business and sales revenues.
- Created presentation materials for sales, customer relations, and management purposes.
- Recruited, interviewed and hired people offering added value, a positive attitude and industry knowledge to the sales team.
- Led sales calls with team members to establish sales and customer retention goals.
Associate sales officer
Indusind bank
Nadiad, Gujarat
12.2014 - 05.2016
- Established rapport through excellent communication, resulting in closed sales.
- Listened to customer needs and preferences to provide accurate advice.
- Built and maintained effective relationships with peers and upper management to drive team success toward common sales, service and operational goals.
- Contributed to team objectives by exceeding sales goals and customer satisfaction ratings.
- Consulted with small business customers to determine needs and means and propose personalized banking solutions.
- Guided teams to increase business portfolio and grow bottom-line profitability.
- Proposed and managed successful marketing promotions and business plans.
- Researched beneficial investment opportunities and made recommendations to senior management.
- Managed opening and closing times for the main branch.
Education
High School Diploma - General
English Teaching School
2011
BBA - Business Marketing
Dharmsinh Desai University
2014
Skills
- Epic charting
- Epic software expert
- Marketing
- Patient advocacy
- Inpatient and outpatient care
- Financial records analysis
- Time management ability
- Results oriented
- Excellent communication skills
- Active listening
- Sales expertise
- Customer- and service-oriented
- Outgoing personality
- B2B sales and customer service
- Computer Proficient
- Creative Problem Solving
- Cold Calling
- Territory Sales Experience
- Business Development
- Domestic and International Experience
- Patient interviewing skills
- Fluent in English, Hindi, Gujarati
- Lead Development
Timeline
Insurance Specialist 2
AbbVie
01.2022 - Current
Emergency Room Registrar
Advocate Condell Medical Center
05.2019 - 01.2022
Medical Billing Specialist
Alltran
12.2018 - 04.2019
Front Office Manager
Super 8 Motel
09.2017 - 12.2018
Associate sales officer
Indusind bank
12.2014 - 05.2016
High School Diploma - General
English Teaching School
BBA - Business Marketing
Dharmsinh Desai University