Prathima Batchu
Vista
Summary
With over 22 years of experience in medical billing and insurance coding, and 20 years as a medical office manager, I bring a wealth of knowledge and expertise to the table. I am also current on my HIPAA and CPR training and certifications, and ensuring that I am up-to-date on the latest developments in the field. I completed my most recent training program in March 2024, which included a hands-on externship at Dr. Afsaneh Zokaei, D.D.S.' dental practice, where I completed 250 working hours and assisted with all of the billing duties and worked as a front desk, office assistant. As a dedicated professional, I am open to relocating to any location that offers career growth and development opportunities. My adaptability and willingness to embrace change make me a valuable asset in any setting.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Administrative Assistant
Reed Plumbing & Mechanical and Construction
Vista
11.2023 - Current
- Involved in various aspects of the business, from client interaction to project management; responsibilities have included generating design ideas, managing client appointments, and ensuring contract compliance.
- I have consistently delivered high-quality work and maintained strong relationships with clients and colleagues.
Medical Billing Specialist/Consultant (Remote)
Midwest Neurology Consultants, LLC
Columbia
04.2021 - Current
- Medical billing and accounts receivable and continuous work on accounts payable and receivable, authorizations for provider visits, neuro-diagnostic testing, MRIs, MRAs, and medication (if needed).
- I also work on patient accounts with balances for those that have had set up payment plans in the past (PRN-basis).
Externship for Medical Billing and Insurance Coding
Dr. Afsaneh Zokaei, D.D.S.- Neighborhood Dental Group
San Diego
12.2023 - 03.2024
- 250 Working hours for school credit (Medical Billing and Insurance Coding Certification)
- Send claims daily and work unpaid dental claims
- Collect payments on outstanding AR from 31 days out, if no upcoming appointments are on the schedule
Chiropractic Billing Manager/Fill-in Receptionist/Office Assistant
DeGroot Chiropractic
Wilmington
08.2020 - 07.2021
- Worked on the current Medical billing/coding at the time, worked through the outstanding/unpaid claims previous billers didn't collect from first through third-party payors, scheduled patients upcoming consults and follow-up appointments, and referred them out to other healthcare providers.
- Answered phones, and dealt with attorney offices regarding claims that were accidents, and spoke with insurance companies regarding accidental claims and Workers' Compensation Insurance Claims.
Office Manager & Medical Billing Specialist (Remote)
Sudhir Batchu MD LLC
Columbia
01.2020 - 04.2021
- Medical billing/coding, communicated with office assistant who was on-site by phone/email, scheduled patients, planned doctor's travel, talked to patients if they had any issues, scheduled patients' appointments with other physicians' offices for referrals, and called insurance companies when precertifications needed for MRIs and medications, and ran the office financial reports and re-billed everything that hadn't been re-billed or that needed to be billed for over 60 days out until it had gotten paid.
Office Manager/Bookkeeper
Sudhir Batchu MD LLC
Columbia
05.2006 - 01.2020
- Medical billing/coding, accounts payable/receivable, communicated with office assistant who was on site and available by phone/email, referred patients to other physicians' offices or to other facilities for additional medical care, planned doctor's travel by booking hotel arrangements when he had meetings out of town, and calmly spoke with his patients if they had any issues and took care of it for them, to get it all worked out.
- I also scheduled patients' appointments for physicians' referrals, I called insurance companies when pre-authorizations, certifications (or retro authorizations) needed for MRI/MRA, lab, and any other Neurodiagnostic testing and medications, to be done.
Education
Bachelor of Arts And Science - Business Administration With An Emphasi Healthcare
American InterContinental University
Chandler, AZ06.2025
Certificate/Diploma - Medical Billing & Insurance Coding
UEI College
Garden Grove, CA03.2024
Bachelor of Arts - Business Administration And Health Informatics
Saint Louis University
St. Louis, MO05.2014
High School Diploma -
Rock Bridge Sr. High School
Columbia, MO06.2004
Skills
- Personal assistant experience
- Tax experience
- Account reconciliation
- EDI
- Auditing experience
- Writing skills
- Data Entry experience
- Front desk
- Medical coding
- Quality Assurance
- Documentation review
- IP hospital billing
- Medical office scheduling experience
- Information management
- Insurance Verification
- Accounts receivable
- Prior-Approval/Prior-Authorizations
- EMR/EHR Systems
- Patient care/scheduling coordinator
- Case management
- Windows
- Physiology knowledge
- Transcription
- Banking
- Medical billing
- Microsoft Office
- Account management
- Contract negotiation
- Referral coordinator
- Medical administrative support
- Supervising experience
- Medical Records/Medical Imaging handling experience
- Microsoft Excel
- Customer service
- Customer Service and phone etiquette experience
- Medical office experience
- Medical records
- Healthcare management
- Google Suite
- Anatomy/Physiology terminology
- Epic EMR/EHR systems
- General Ledger Reconciliation
- HIPAA compliance and certification
- Medical office management
- Customer relationship management
- Medical Coding
- Credentialing for Medical Physicians newly hired
- Records management
- Accounts Payable
- DocuSign
- Financial Analysis
- Accounts payable
- Financial Report Writing
- Negotiation
- Revenue cycle management
- Bank Reconciliation
- Medical Terminology
- ICD coding
- Microsoft Outlook
- Clerical experience
- Analysis skills
- Healthcare Documentation Specialist
- Payroll
- Medical billing and insurance coding
- Insurance eligibility and verification
- Financial management
- Microsoft Office/Microsoft Professional Programs
- HIPAA
- Layout design
- Microsoft Access
- Workers' compensation law
- Laboratory Billing
- Budgeting
- Purchasing
- Leadership
- Medical back office daily duties experience
- Accounting
- Medical front desk/receptionist daily duties experience
- Epic
- Fraud prevention and detection
- Bookkeeping
- QuickBooks
Certification
- Certified Travel Arrangement Coordinator, 12/22, Present, Certified travel coordinator through Archer Agency with Evolution Travel ID# 662752
- First Aid Certification, 10/23, 04/25, CPR Trained and Certified
- HIPAA, 09/23, 03/25, Trained and certified
- Real Estate License, Awaiting to take exam
Timeline
Externship for Medical Billing and Insurance Coding
Dr. Afsaneh Zokaei, D.D.S.- Neighborhood Dental Group
12.2023 - 03.2024
Administrative Assistant
Reed Plumbing & Mechanical and Construction
11.2023 - Current
Medical Billing Specialist/Consultant (Remote)
Midwest Neurology Consultants, LLC
04.2021 - Current
Chiropractic Billing Manager/Fill-in Receptionist/Office Assistant
DeGroot Chiropractic
08.2020 - 07.2021
Office Manager & Medical Billing Specialist (Remote)
Sudhir Batchu MD LLC
01.2020 - 04.2021
Office Manager/Bookkeeper
Sudhir Batchu MD LLC
05.2006 - 01.2020
Bachelor of Arts And Science - Business Administration With An Emphasi Healthcare
American InterContinental University
Certificate/Diploma - Medical Billing & Insurance Coding
UEI College
Bachelor of Arts - Business Administration And Health Informatics
Saint Louis University
High School Diploma -
Rock Bridge Sr. High School