Shalini Manickam Gnanasekaran (CPC-A)

• Auto Post/Zero EOBs: Streamlined the auto-posting of insurance payments, ensuring accurate and timely entry of payments with zero Explanation of Benefits (EOBs) discrepancies.
• Accounts Receivable Management: Proactively followed up on open claims with insurance companies, reducing outstanding accounts receivables and improving cash flow.
• Denial Management: Acted on claim denials by investigating, correcting, and resubmitting claims, significantly reducing the denial rate and increasing revenue.
• Claim Resubmission: Resubmitted claims for various reasons, including requests for additional medical records, patient summary forms, and Medical Necessity Reviews (MNRs), as well as other documentation such as pre-authorization forms and corrected claim information.
• Insurance Payment Posting: Efficiently posted insurance payments, reconciling accounts to ensure accurate financial records.
• Attorney Payment Posting: Posted attorney payments and sent settled account files to storage, maintaining organized and up-to-date records.
• Patient Demographics Entry: Accurately entered patient demographics into the system, ensuring all information was complete and up-to-date for billing purposes.
• Insurance Verification: Verified patient insurance coverage and eligibility, ensuring accurate billing and preventing claim rejections.
• Charge Posting: Managed the posting of charges for medical services rendered, ensuring correct coding and timely submission.
• Medical Coding: Utilized CPT, ICD-10, and HCPCS coding to accurately code procedures and diagnoses related to chiropractic, ensuring proper billing and minimizing claim denials.
• HIPAA Compliance: Maintained patient billing records in compliance with HIPAA regulations, ensuring confidentiality and security of sensitive information.
• Electronic Claims Submission: Prepared and submitted electronic claims, ensuring compliance with payer guidelines to maximize reimbursement.
• Billing Call Management: Provided exceptional customer service by answering billing inquiries, resolving issues, and assisting patients with payment plans and account questions.

Key Achievements:

• Efficiency Improvements: Implemented an auto-posting system weekly that increased efficiency by 30%, reducing manual entry errors and accelerating payment processing.
• AR Reduction: Reduced accounts receivable aging by 50% through diligent follow-up and effective denial management strategies.
• Revenue Enhancement: Enhanced overall revenue by 20% through accurate charge postings and proactive denial resolutions.

• Coordinating office activities and operations to secure efficiency and compliance to company policies
• Supervising administrative staff and dividing responsibilities to ensure performance
• Call Management Standards and Principles
• Follow the policies, procedures and reporting
• Manage clerical and administrative tasks as required
• Handle Telephone Triage guidelines and Front Desk Reception
• Manage phone calls and correspondence (e-mail, letters, packages etc.)
• Schedule Appointment, meetings and send communication to Clients and vendors
• Track & Report call volume on daily basis
• Create and update records and databases with personne financial and other data
• Assist colleagues whenever necessary.

• Handled Import Bill for collection under URC522
• Handled payments Desk with thorough knowledge on Swift Remittances
• Handled Buyer's credit/Overseas financing Transaction with flair
• Handled Export collections / finances/payments
• Have handled Nostro reconciliations
• Escalation of outstanding items and issues to the customer and management
• Active participation in testing and process for enhancing system response time and system enhancements
• Quality Control, Monitoring and Reporting
• Data curating of banking Trade database.

• Responsible for reaching out to customers to collect payment for overdue bills, loans, or other payments
• Acts as the liaison between creditors and customers and manages overdue accounts
• Collect payments on past due bills
• Create a list of people who have not made payments
• Organize list according to severity of delinquency
• Locate customers using credit bureau information, background checks, loan documents, and other paperwork or databases
• Call customers using telephone
• Inform clients of overdue accounts and amount currently owed
• Assign the executive to collect payment
• Ensure all customer information is correct, including phone numbers and addresses
• Listen to customer's story and determine if debt can be collected
• Set up repayment plans and new terms of sale
• Offer advice or refer customers to debt counselors
• Record new commitment to repay debt
• Send statements of delinquencies to bank.