Shybba Nandy
Cherryhill,New Jersey
Summary
Healthcare Administrator with 7 years of experience in office management & healthcare administration while ensuring regulatory, company and quality standards with a commitment to delivering exceptional service.
Overview
14
14
years of professional experience
Work History
Intake and Billing Coordinator/ Scheduling
The Thrive Network
Cherryhill, New Jersey
01.2023 - 03.2025
- Submit the Medicaid claims to insurance panels using ICD-10 coding guidelines
- Track and follow up on claim status
- Verify patient eligibility using various payer portals
- Discuss member responsibility with patient such as copay, deductibles, coinsurance
- Investigate and resolve denied claims to ensure claim payment
- Create invoices / payment plans for clients who have balances
- Monitor insurance fee schedules and update when necessary
- Work with providers to ensure documentation is entered and completed correctly for claim generation
- Maintain and reconcile financial ledgers for over 150 patients
- Responsible for scheduling Intake Client and collects the demographics and insurance information correctly and migrating in the system
- Utilized billing software (e.g., Epic, Insync) to enter patient information, verify Medicaid insurance coverage /private Insurance, and generate invoices
- Provided excellent customer service by assisting patients with billing inquiries and explaining payment options
Office Assistant
Virtua Health
Voorhees, New Jersey
06.2022 - 11.2022
- Performs medical office duties including verifying insurance, answering phones, scheduling patient appointments, registering patients, and entering all billing information into system
- Performs billing functions such as entering charges and payments, collecting co-pays, reconciling batches, and preparing deposits
- Collects co-pays and performs pre-certifications and filing
- Responsible for scheduling patient appointments and registering patients, including updating and verifying all system demographics and insurance information
- Responsible for preparing referrals and obtaining pre-certifications as required
- Train and direct office assistants at sites, including preparation of work and training schedules
- Acts as office resource and mentoring role model
Healthcare Administrator
The Mission Hospital
India
12.2010 - 02.2016
- Develop project strategy plans based on logical framework approaches
- Maintain project timeframes, objectives, and communications
- Create and manage documentation and reports for projects
- Verify data and information and analyze it to suit the direction of a project
- Track, forecast and report on project progress including metrics and challenges
- Maintain current knowledge on the legislation applicable to each project
- Monitor facility compliance to all NABH standards (National Accreditation Board for Hospitals and Healthcare providers) and arrange continuing education opportunities for clinical and non-clinical employees
- Implementing stringent quality control system
- Developed employee onboarding materials and process to ensure successful integration into the workplace
- Monitor facility compliance with all NABH standards (National Accreditation Board for Hospitals and Healthcare providers) and arrange continuing education opportunities for clinical and non-clinical employees
- Implementing a stringent quality control system
- Assuring all emergency code plans, adequate training and periodic mock drills are in place
- Setting up structured processes and standards to achieve accreditation
- Working closely with various departments for significant document generation and collation
- Working as a non-clinical assessor in NABH assessment (National Accreditation Board for Hospitals and Healthcare providers)
- Interacted with customers to provide support and resolve complaints and issues
- Assist in Scheduling, facilitating and participating in meetings, prepare and distribute meeting agenda and notes
Education
Bachelor's Degree - Hospital Management
West Bengal University of Technology
Skills
- OP Billing & Claim Submission
- Customer Relations
- Teams/Slack Communication
- Scheduling
- Office Administration
- Epic & Insync Registration
- HIPAA
- Data Entry
- Google Suite
- MS Office Suite
- Insurance Verification
- ICD-10 and CPT Coding
- Policies & Procedures Manuals
- Medicaid Verification
- Medical Records Management
- Documentation
Professional Development And Certification
- AAPC CPC certification in progress
- Certified in Lean Six Sigma- Green Belt
- Won 1st prize in Poster Presentation at 4th International Patient Safety Congress
- Attended various workshops and webinar on Business Analysis, Quality Assurance Control and active participation in Thalassemia Conference
Timeline
Intake and Billing Coordinator/ Scheduling
The Thrive Network
01.2023 - 03.2025
Office Assistant
Virtua Health
06.2022 - 11.2022
Healthcare Administrator
The Mission Hospital
12.2010 - 02.2016
Bachelor's Degree - Hospital Management
West Bengal University of Technology
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