Summary

Overview

Work History

Education

Skills

Timeline

Vaidehi Patel

Murfreesboro,Tennessee

Summary

I am able to handle multiple tasks on a daily basis. I use a creative approach to problem solve. Dependable. I am a dependable person who is great at time management. Energetic. I am always energetic and eager to learn new skills. Experience. ... Flexible. ... Hardworking. ... Honest.

Overview

years of professional experience

Work History

Claims Processor I / Processor II

BlueCross BlueShield of South Carolina, CGS

Nashville, Tennessee

02.2022 - Current

Determined if claim submission was completed correctly, verified data and entered into system for adjudication
Worked directly with beneficiaries to resolve any errors and answer any questions regarding eligibility status
Reviewed payments history to determine final payment amount, if any
Translated foreign language claims into English utilizing translation software, then manually checked and coded appropriately
Processed claims adjustments when applicable , Knowledge and use of ICD-9, ICD-10 and CPT coding
Prepared and reviewed insurance-claim forms and related documents for completeness.

Patient registration representative/ Administration

R1RCM, saint Thomas hospital

Murfreesboro, TN

05.2021 - 02.2022

Answer telephones, schedule appointments & take messages to provider by sending electronically
Verify appointments by making reminder calls
Register new & established patients & pre-register newborns
Assist patients with questions & completion of forms/or applications related to insurance coverage, Sliding Scale, Medicaid
Presumptive Eligibility MPE) & Newborn application, Primary Care Provider transfer (PCP)
Collects verifies & updates patient insurance information /method of payment into Practice Management system at every visit
Secure all payment collections& deposit in safe
Maintain patient confidentiality & HIPAA compliance
Verified insurance and collected critical data elements to properly identify and bill patients.
Registered patients using proper data entry procedures and fully compliant ICD-10 and CPT codes.
Completed relevant insurance and other claim forms.
Compiled and coded patient information or data in appropriate computer system.
Verified claim data correctness in preparation for processing.
Reviewed history records to determine benefit eligibility for services.
Coordinated benefits with medical insurance plans and Medicare providers.

Picking and Packing / logistics specialist

Amazon

Murfreesboro, TN

09.2013 - 03.2021

Managed logistical operations on supply and vehicle maintenance; established and maintained stock records and other documents, such as inventory, material control, accounting, and supply reports
Ordered thousands of vehicle parts per month worth over $500K; monitored equipment durability and tracked daily orders through a Standard Army Maintenance System
Instructed 20 people in performing logistical duties associated with ordering, dispatching, and organizing new vehicle parts to support 100 employees
Delivered over $1M worth of equipment to 30 mechanics in austere conditions while deployed in support of Operation
Enduring Freedom
Drove and operated military equipment; maintained full accountability of $2M worth of equipment with zero losses

Subway Sandwich Artist/Cashier

Smyrna, TN

10.2009 - 07.2013

Assist with making products for customers as desired
Assist with restocking of supplies needed
Strong customer service skills
Ability to keep customer areas clean and sanitized
Loaded and unloaded packages as required
Scanned and entered packages into the tracking system
Maintained high quality of customer service while working a fast paced operation
Trusted with cash drawer and delivering bank deposits
Maintained clean place to prepare food with high sanitary standards

Production Specialist II

Assurion | Smyrna Tennessee

10.2010 - 11.2011

Maintained necessary level of communications between shifts
Responsible for achieving production requirements
Directed and coordinated the production, processing, distribution and marketing activities
Made sure that products were produced on time and are of good quality
Monitored product standards and quality-control programs.