Puni Patel
Carrollton,TX
Summary
Reliable Insurance Coordinator with expertise in securing pre-authorizations, pre-certifications, claims, denials, for wide range of procedures. Proficient in medical terminology and CPT, ICD-10 and HCPCS coding. Expertise in office administration, records management and leadership.
Overview
27
27
years of professional experience
1
1
Certification
Work History
Insurance Coordinator
Ken Martin Audiology
09.2023 - Current
- Prepared insurance claims for submission to clearinghouses or insurance companies
- Verified insurance and communicated coverage to staff and patients
- Managed a high volume of inbound calls approximately 30 incoming calls, email per day, promptly resolving issues while providing accurate information on policies and procedures via feedback
- Assisted clients with understanding complex insurance policies, effectively addressing concerns or questions
- Obtained data such as patient, insurance ID, insurance provider and medical codes to properly file insurance claims and update demographic information as needed
- Referenced monthly aging reports to follow up on unpaid claims and obtain maximum reimbursement
- Reviewed outstanding claims and redirect after editing to achieve financial targets to reduce outstanding debt and complete projects on time.
General Manager
Executive Inn
01.1998 - Current
- Manage and train employees more than 10
- Resolve conflicts and customer issues in person and over the phone or email on daily basis
- Create hotel guests' reservations, place order with suppliers, and sales team
- Assist hotel guests more than 30 with credit card transaction and check-in and check-out
- Assist with payroll biweekly for the employees
- Developed and implemented strategies to increase sales and profitability.
Administrative Assistant
Kilgore College
01.2021 - 09.2023
- Data entry
- Team Player with coworkers and community staff
- Handle students, parents and community questions and concerns regarding college
- Strong organization, communication, and interpersonal skills
- Assist with student's enrollment that serves around 100 plus a week
- Maintained confidentiality of sensitive information by adhering to strict privacy policies and implementing secure filing systems
- Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors.
Education
Some College (No Degree) - Certified Professional Coder
AAPC
Longview, TXAssociate of Applied Science - Business Administration And Management
Kilgore College
Kilgore, TX05.2023
CBCS -NHA - Certified Billing And Coding Specialist
Academy of Allied Health
Longview, TX05.2023
BA Equivalent Diploma in Computer Technology - Computer Technology
Maharashtra College of Engineering
01.1996
Skills
- Medical billing, coding and terminology
- Insurance claims verification and follow up
- ICD-10, CPT, HCPCS Coding
- CMS 1500 & UB-04 Appeals and Denial claims
- EOB Claims
- Responsible for working 40 plus claims per day
- Medicare and Medicaid knowledge
- Proficient in Microsoft Office 365 (Word, Excel, PowerPoint, Outlook) and Billing Software (Sycle, Waystar, Availity)
- Revenue Cycle Management
- Strategic thinking skills
- Strong verbal, written, interpersonal communication, and collaboration skills
- Outstanding organizational skills and complete all assigned projects in timely manner
- Ability to multitask in high degree of accuracy, efficiency and confidentiality
Certification
- Business Computer Office Management-AAS
- CBCS-NHA
- CPC-AAPC (Under Process)
Community Service
- Helped at Food Banks, Senior citizens homes and homeless shelters
- Volunteered at Kilgore College and Leva Patidar Samaj Dallas/Longview
Timeline
Insurance Coordinator
Ken Martin Audiology
09.2023 - Current
Administrative Assistant
Kilgore College
01.2021 - 09.2023
General Manager
Executive Inn
01.1998 - Current
Some College (No Degree) - Certified Professional Coder
AAPC
Associate of Applied Science - Business Administration And Management
Kilgore College
CBCS -NHA - Certified Billing And Coding Specialist
Academy of Allied Health
BA Equivalent Diploma in Computer Technology - Computer Technology
Maharashtra College of Engineering
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