Summary
Overview
Work History
Education
Skills
Languages
Certification
References
Work Availability
Quote
Timeline
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Sandeep Romana

Sandeep Romana

Missouri City,TX

Summary

Certified Medical Biller and Coder and Business Graduate with over 5+ years of Medical Billing, and 10 + years of business management, marketing and sales experience. Looking for a challenging role in Medical Billing Sector.

Overview

12
12
years of professional experience
1
1
Certification

Work History

BILLING/MEDICAL CLAIMS SPECIALIST

Pulmonary critical Care and Sleep Spacialist
Houston , TX
2018.09 - 2024.01

Managed the revenue cycle which includes:

  • Entering and Submitting the claims
  • Timely follow-up of all unpaid/denied claims with insurance carriers. Reviewed & worked incoming correspondence including refund requests.
  • Tracking and posting EOB's to patient accounts.
  • Creating and Sending Invoices to patient/s, and accounts to collations.
  • Sent appeals when appropriate or providing medical documentation for medical necessity.
  • Research Medicare and Medicaid sites for LCD/NCD guidelines for claim resolution.
  • Negotiate payment amounts for procedures with out of network providers. Post payments as needed. Ensured that all levels of HIPAA compliances was being followed at all times.
  • Assisted claimants, providers and patient's with problems or questions regarding claims.
  • And solved other day to day medical billing related problems.

Managing Director

Trio Digital Pvt. Ltd
Delhi , New Delhi
2015.12 - 2018.01

· Carried out market research & developed the product line accordingly.

· Worked closely with the manufacturing team to improve the products based on the feedback.

· Used the modern marketing tools to boost the sales and build the reputation in the market such as Facebook, Twitter, YouTube etc.

· B2B Sales, regular meetings with potential clients and suppliers, managed the regular supply of the goods to wholesale dealers and retailers.

· Dealt with custom clearance of the products manufactured by OEM partners.

Manager

Globe Xpress Ltd. London
London , London, UK
2013.03 - 2015.09

· Supervised the team of 10+ members, assigning duties to the team members on daily basis.

· Calling the clients and managing the B2B Sales.

· Managed custom clearance of Inbound and outbound goods, arranged deliveries with the help of courier partners (such as DHL, UPS, DPD, UK Mail).

· Prepared financial and non-financial reports and billed the clients who used services provided by the organization.

Office Administrator

Sam Waste Compacting Services Ltd. United Kingdom
London , London, UK
2011.09 - 2013.09

· Provided customer service

· Invoicing

· Purchase Order Creation And Maintenance

· Inventory and Margin Analysis

Education

Diploma - Business Administration

Pinnacle College
London, UK
2013-09

Master of Arts - History

Punjabi University
Punjab, India
2010-04

Some College (No Degree) - Medical Insurance Billing (CPC)

AAPC
Online

Skills

  • Claims Processing
  • ICD 9, ICD 10
  • CPT Codes
  • Insurance Verification
  • Medical Coding
  • HIPAA Knowledge

Languages

English
Full Professional
Hindi
Native/ Bilingual
Urdu
Full Professional

Certification

  • HIPAA Certified

References

References available upon request.

Work Availability

monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote

There’s no shortage of remarkable ideas, what’s missing is the will to execute them.
Seth Godin

Timeline

BILLING/MEDICAL CLAIMS SPECIALIST

Pulmonary critical Care and Sleep Spacialist
2018.09 - 2024.01

Managing Director

Trio Digital Pvt. Ltd
2015.12 - 2018.01

Manager

Globe Xpress Ltd. London
2013.03 - 2015.09

Office Administrator

Sam Waste Compacting Services Ltd. United Kingdom
2011.09 - 2013.09

Diploma - Business Administration

Pinnacle College

Master of Arts - History

Punjabi University

Some College (No Degree) - Medical Insurance Billing (CPC)

AAPC
  • HIPAA Certified
Sandeep Romana