Summary
Overview
Work History
Education
Skills
Timeline
Generic

Niyati Shah

New Hyde Park,NY

Summary

Dedicated Account Receivable Specialist offering 10+ years of experience in revenue cycle. Performs all aspects of medical billing, including coding, charge entry, transmission, correction, resubmission, and payment posting. Experience in collaborating with office managers and providers to validate proper information for claims processing. Detail-oriented and helpful professional with expertise in resolving billing issues and reviewing claim denials. Successful at overseeing team performance and allocating resources to meet workflow and demand.

Overview

9
9
years of professional experience

Work History

Senior Biller

Primary PartnerCare Physician LLC
10.2023 - Current
  • Streamlined the billing process for faster invoice generation, resulting in improved cash flow.
  • Maintained up-to-date knowledge of billing regulations and compliance requirements, ensuring company adherence to industry standards.
  • Processed payment via telephone and in person with focus on accuracy and efficiency.
  • Verified accuracy of accounts payable payments, resulting in 25% reduction in payment errors and check reissues.
  • Increased accuracy in billing by implementing efficient invoicing processes and reviewing financial data.
  • Participated in process improvement initiatives for the billing department, contributing innovative ideas and sharing best practices with team members.
  • Reduced processing time for payments received by reconciling accounts daily, allowing quick identification of discrepancies.
  • Used data entry skills to accurately document and input statements.

Revenue Tax Accountant / Auditor I

Alabama Department of Revenue
04.2023 - 09.2023
  • Enhanced client satisfaction by providing accurate and timely tax preparation services.
  • Reduced client tax liabilities through diligent research and application of applicable tax laws.
  • Managed multiple tax projects simultaneously, ensuring deadlines were met and clients were satisfied.
  • Streamlined processes for increased efficiency in preparing and filing tax returns.
  • Collaborated with team members to identify opportunities for improving client services and tax strategies.
  • Assisted clients in understanding complex tax concepts, explaining implications of various financial decisions.

Senior Biller

Primary PartnerCare Physician LLC
10.2021 - 07.2022
  • Increased accuracy in billing by implementing efficient invoicing processes and reviewing financial data.
  • Streamlined the billing process for faster invoice generation, resulting in improved cash flow.
  • Maintained up-to-date knowledge of billing regulations and compliance requirements, ensuring company adherence to industry standards.
  • Reduced outstanding accounts receivable balances by consistently monitoring payment status and actively following up on overdue invoices.
  • Collaborated with other departments to resolve billing discrepancies, promoting interdepartmental cooperation.

Laboratory Billing Specialist

Comtron Inc.
08.2019 - 04.2020


  • Improved billing accuracy by implementing a streamlined invoicing process.
  • Enhanced customer satisfaction with timely and accurate invoice generation.
  • Reduced errors in financial records by conducting regular audits of billed accounts.
  • Collaborated with the collections team to recover overdue payments from clients, maintaining cash flow and minimizing writeoffs.
  • Maximized revenue potential by identifying and resolving under-billed accounts.

Billing Manager

Forest Hills Gastroenterology/ Moss Dermatology
12.2016 - 09.2019
  • Streamlined communication with clients by establishing clear expectations for payment terms and resolving disputes promptly.
  • Boosted team productivity through effective delegation of tasks, setting performance targets, and providing constructive feedback.
  • Reduced errors and discrepancies in invoicing by closely monitoring billing data and conducting regular audits.
  • Increased efficiency in billing processes by implementing new software and automating routine tasks.
  • Enhanced client satisfaction levels by ensuring timely delivery of accurate invoices and addressing concerns professionally.
  • Developed comprehensive training materials for new hires to quickly acclimate them to company procedures and software systems.
  • Collaborated with cross-functional teams to resolve billing-related issues swiftly, minimizing negative impacts on overall operations.
  • Implemented policies that improved accounts receivable collections, resulting in reduced outstanding balances and increased cash flow.
  • Maintained up-to-date knowledge of industry regulations and compliance requirements, ensuring the department remained compliant at all times.

Biller/Collector

Sandata Technology
09.2017 - 08.2019
  • Reviewed past due bills and supporting documentation regarding account delinquency
  • Identified problem delinquencies and submitted them to the appropriate department for resolution
  • Communicated with cash and billing departments to ensure payments are processed accurately
  • Assisted in resolving matters associated with client accounts
  • Communicated issues and concerns with management team and appropriate personnel
  • Applied updates to patient accounts as received and as required.

Billing Coordinator

Integrated Medical Billing LLC Group
04.2015 - 11.2016
  • Optimized billing processes by implementing efficient invoicing and payment tracking systems.
  • Reduced billing errors through consistent review and reconciliation of account discrepancies.
  • Streamlined workflow for faster invoice processing, improving overall efficiency in the department.
  • Coordinated with clients to resolve outstanding balances, resulting in a higher percentage of on-time payments.
  • Collaborated with cross-functional teams to ensure accurate and timely billing for all products and services provided.
  • Enhanced client relations by promptly addressing inquiries and concerns regarding invoices and account statuses.
  • Monitored accounts receivable aging reports, identifying trends and proactively addressing potential collection issues.
  • Managed the implementation of new billing software, contributing to more accurate financial reporting and data management.
  • Developed customized billing reports for internal stakeholders, supporting informed decision-making processes.

Education

Certified Billing and Coding Specialist -

NHA Certificate
08.2020

Master of Science - Accounting & Information Systems

Queens College (City University of New York)
05.2015

Bachelor of Arts - Accounting & Information Systems

Queens College (City University of New York, NY)
05.2013

Skills

  • Proficient in Microsoft Office
  • Accurate Data Entry
  • Medical billing
  • CPT and HCPCS coding
  • Posting and Balancing
  • Account / Claims reconciliations
  • Knowledge of HMOs, Medicare, Medicaid
  • Insurance contracts, Appeals and EOBs

Timeline

Senior Biller

Primary PartnerCare Physician LLC
10.2023 - Current

Revenue Tax Accountant / Auditor I

Alabama Department of Revenue
04.2023 - 09.2023

Senior Biller

Primary PartnerCare Physician LLC
10.2021 - 07.2022

Laboratory Billing Specialist

Comtron Inc.
08.2019 - 04.2020

Biller/Collector

Sandata Technology
09.2017 - 08.2019

Billing Manager

Forest Hills Gastroenterology/ Moss Dermatology
12.2016 - 09.2019

Billing Coordinator

Integrated Medical Billing LLC Group
04.2015 - 11.2016

Certified Billing and Coding Specialist -

NHA Certificate

Master of Science - Accounting & Information Systems

Queens College (City University of New York)

Bachelor of Arts - Accounting & Information Systems

Queens College (City University of New York, NY)
Niyati Shah