Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Payal Rani

North Hills,CA

Summary

Detailed oriented and analytical billing and coding professional with 6 years of experience in outpatient and inpatient billing overseeing billing and coding activities, making decisions to ensure a maximized cash flow. Proficient at resolving discrepancies in billing records, and skilled in analyzing and validating patient information, diagnoses, and procedure codes. Expertise in ICD-10, CPT, HCPCS, and PCS coding.

Overview

6
6
years of professional experience
1
1
Certification

Work History

Medical Billing Specialist

Tarzana Treatment Centers, Inc
04.2023 - Current
  • Ensure the quality and accuracy of billing.
  • Correct coding and indexing of information.
  • Generate the weekly and monthly billing reports.
  • Transcription of provider notes as needed.
  • Analyze patient charts and identify any discrepancies.
  • Responsible for review and audit data for TTC and external payers.
  • Responsible for Behavioral Health and Substance Abuse billing.
  • Review and resolve coding related claims to prevent further rejection.
  • Overall maintenance and preservation of records for SAPC and DMH contract.
  • Researches and resolves any local LACDMH file rejections that result from technical transaction errors
  • Communicated effectively and extensively with other departments to resolve claims issues.
  • Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.

Billing Lead and CPC

Mission City Community Network
04.2018 - 04.2023
  • Responsible for Primary and Behavioral Health billing and coding.
  • Apply ICD-10 and CPT codes to medical records.
  • Verify patient eligibility for various insurances.
  • Responsible for timely and accurate invoicing of all assigned accounts.
  • Research payer’s payments policies and Medical-RAD codes when necessary.
  • Research and recommend ICD-10 or CPT codes for Laboratory services.
  • Responsible for processing laboratory denials in a timely manner.
  • Responsible for denials from Medical and private insurances.
  • Submits invoice summary to accounting for payments.
  • Review all billing information for accuracy.
  • Enters cash payments and post charges.
  • Maintain accurate records and resolve billing issues.
  • Prepares audit reports as requested by the Supervisor.
  • Monitor outstanding invoices and perform collection duties.
  • Answering phone calls, scanning, and faxing documents.
  • Audit billing records to verify accuracy and completeness.
  • Process patients refunds and adjustments according to company’s policies

Education

Associate Degree - HIM

Santa Barbra City College
Santa Barbara, CA
07.2025

Diploma - Medical Billing And Coding

West Valley Occupational Center
Woodland Hills, CA
03.2018

Diploma - Information Technology

Polytechnic College For Girls
India
05.2011

Skills

  • HIPAA Compliance
  • Insurance Verification
  • Attention to Details
  • Innovative
  • Self-Motivated
  • Ability to prioritize workload
  • Quick Learner
  • Highly Responsible
  • Flexible
  • Organization Skills
  • MS office proficient
  • Problem solving skills
  • Time Management
  • Medical Terminology
  • Medical coding

Certification


  • Certified Professional Coder (CPC), [AAPC]

Timeline

Medical Billing Specialist

Tarzana Treatment Centers, Inc
04.2023 - Current

Billing Lead and CPC

Mission City Community Network
04.2018 - 04.2023

Associate Degree - HIM

Santa Barbra City College

Diploma - Medical Billing And Coding

West Valley Occupational Center

Diploma - Information Technology

Polytechnic College For Girls

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