Purnima Patel
Longview,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
26
26
years of professional experience
1
1
Certification
Work History
Insurance Coordinator
Ken Martin Audiology
09.2023 - Current
- Verified insurance and communicated coverage to staff and patients.
- Managed a high volume of inbound calls, promptly resolving issues while providing accurate information on policies and procedures.
- 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.
- Referenced monthly aging reports to follow up on unpaid claims and obtain maximum reimbursement.
- Prepared insurance claims for submission to clearinghouses or insurance companies.
- Obtained prior authorization and precertification for outpatient procedures.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
- Reviewed outstanding requests and redirected workloads to complete projects on time.
General Manager
Executive Inn
01.1998 - Current
- Manage and train employees
- 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 with credit card transaction and check-in and check-out
- Assist with payroll biweekly for the employees
Administrative Assistant
Kilgore College
01.2021 - 09.2023
- Data entry in Jenzabar
- 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.
Front Desk Manager
Microtel Inn and Suites
01.1999 - 12.2019
- Supervised 8 employees and did payroll biweekly
- Ordered supplies monthly or as needed
- Managed room changes for hotel guests over 10 to 20 per week with as little disruption as possible regardless of the reason
- Worked as a night auditor on some days
- Attended conventions and completed trainings
Education
CPC
AAPC
09.2024
Associate of Applied Science - Business Administration And Management
Kilgore College
Kilgore, TX05.2023
BA Equivalent Diploma in Computer Technology -
Maharashtra College of Engineering
01.1996
Skills
- Medical billing, coding and terminology
- Insurance claims verification and processing
- ICD-10 Coding
- CPT Coding
- CMS-1500
- Claims processing and adjustment
- Denial claims identification
- Medicare and Medicaid knowledge
- Proficient in Microsoft Office and Billing Software
- Revenue Cycle Management
- Strategic thinking skills
- Strong verbal, written, interpersonal communication, and collaboration skills
- Outstanding organizational skills and Dependable to meet deadlines
- Ability to multitask in high degree of accuracy, efficiency and confidentiality
Community Service
- Helped at Food Banks, Senior citizens homes and homeless shelters.
- Volunteered at Kilgore College and Leva Patidar Samaj Dallas/Longview.
Certification
CBCS-NHA
CPC-AAPC (Under Process)
Languages
English
Full Professional
Hindi
Native or Bilingual
Gujarati
Native or Bilingual
Timeline
Insurance Coordinator
Ken Martin Audiology
09.2023 - Current
Administrative Assistant
Kilgore College
01.2021 - 09.2023
Front Desk Manager
Microtel Inn and Suites
01.1999 - 12.2019
General Manager
Executive Inn
01.1998 - Current
CPC
AAPC
Associate of Applied Science - Business Administration And Management
Kilgore College
BA Equivalent Diploma in Computer Technology -
Maharashtra College of Engineering
Similar Profiles
Puni PatelPuni Patel
Insurance Coordinator at Ken Martin AudiologyInsurance Coordinator at Ken Martin Audiology
Stacie SiegelStacie Siegel
Doctor Administrative Assistant at RW Petruso Hearing & Audiology CenterDoctor Administrative Assistant at RW Petruso Hearing & Audiology Center
Klarissa HilkeyKlarissa Hilkey
Executive Administrative Assistant at Northwest Audiology & Hearing Aid CenterExecutive Administrative Assistant at Northwest Audiology & Hearing Aid Center