Vidisha P Mehta
Lansdale,PA
Summary
Patient access supervisor with hands-on leadership of prior and initial authorization teams, payer follow-up, and escalation management. Coordinates with clinical, reimbursement, and field partners to support timely submissions, policy compliance, and smoother approval workflows.
Overview
2
2
Languages
19
19
years of professional experience
Work History
Supervisor, Patient Access
Globus Medical
Nevro
01.2026 - Current
- Led and managed team of Patient Access Specialists for initial and prior authorizations, enhancing team coordination and effectiveness.
- Oversaw authorization workflows to ensure timely submissions and approvals aligned with payer guidelines, improving compliance and reducing delays.
- Acted as the escalation point for complex payer issues, coverage determinations, and appeals.
- Monitored productivity, quality metrics, and turnaround times; implemented corrective actions.
- Partner cross-functionally with clinical, reimbursement, and field teams to maintain alignment with coverage policies.
Customer Service Manager
Dollar Island Mini mart
04.2018 - Current
- Grew sales by 25% through implementing an endless aisle.
- Implemented system of mystery shoppers whose feedback led to a 20% increase in satisfaction among both customers and employees.
- Ensure the delivery of the desired customer experience for all customer as well as employees.
- Responded to consumer and employee inquiries, ensuring accurate information and assistance.
- Prepared daily work schedules for and assigned tasks to 2+employees, scheduled deliveries, and enforced company policy.
- Analyzed sales and customer trends to maximize revenue and minimize expenses.
Supervisor Pre-Certification
Prompt Care Companies
09.2024 - 12.2025
- Request, track, and obtain prior authorizations for DME from insurance carriers/third party authorization companies within a reasonable time frame.
- Contact insurance carriers to verify patients' insurance benefits and requirements specific to the requested DME equipment.
- Work closely with CSRS to obtain necessary data needed to submit for prior authorization.
- Followed up with insurance carriers/third party authorization companies to secure prior authorization before services were performed.
- Managed patient prescriptions and requested prior authorization as needed to ensure timely order fulfillment.
- Accurately and efficiently process Durable Medical Equipment (DME) sales orders for our tracheostomy and ventilator dependent patients.
- Verify insurance and update patient files - which includes demographics, insurance, and benefit information.
- Managing inquiries from Healthcare Providers who reach out to Prior Auth department.
- Resolve questions and concerns effectively and efficiently by actively listening, communicating clearly, and assuring understanding of the question/issue by healthcare professional as well as internal employees.
- Communicated with patients and providers via telephone, email, and web portals.
- Documentation and computer input of the new referral and subsequent patient admission from start to finish are critical and must always follow Prompt Care's policies and procedures.
- Qualify the patients for DME Invasive and Non Invasive which includes Ventilators, tracheostomy, oxygen, cough assist etc.
- Served as the designated point of contact for the intake of adverse events, and requirements from Health care Companies.
- Document interactions in order to record details of inquiries, comments and actions taken, to include intake if events and outcome.
- Collaborated with internal stakeholders to develop and implement process improvements and share performance updates.
- Knowledge of Brightree, Med Force, Microsoft Office, MS Teams, McKesson VerbalCare, and other applications.
- Handled SCA (Single Case Agreements) which includes negotiating terms with the health care providers.
- Answered consumer and employee inquiries.
Medicare Billing Specialist DME
Tricounty medical equipment company
04.2014 - 09.2016
- Managed Medicare collections, reimbursements, adjustments, and billing for DME.
- Work Medicare Remittance Denials and analyze patient accounts and review EOB's, work rejection reports and keep track of medical necessity denials sent to coding report areas of concern and offer recommendations.
- Increased payment collection by ensuring accurate claim submissions.
- Coordinated resolution of issues and concerns with patients' accounts to ensure timely payments.
- Posted Medicare charge adjustments, including LCD and late postings for DME equipment.
- Reduced accounts receivables by prioritizing high dollar accounts, improving cash flow.
- Knowledge of modifier logics, HCPT/CPT codes and revenue line code descriptions.
- Must exhibit a good working knowledge of Medicare regulations, assuring claims are in compliance with CMS guidelines.
- Identifies potential liability issues for services provided and reports to management.
- Speak with patients regarding problems with unresolved accounting.
Claims Customer Services Representative
AETNA
03.2013 - 11.2013
- Answers questions and resolves issues based on phone calls/letters from members, providers, and plan sponsors. Triages resulting rework to appropriate staff. Documents and tracks contacts with members, providers and plan sponsors.
- Responded to inquiries from members regarding their benefits, providing accurate information to providers.
- Determines medical necessity, applicable coverage provisions and verifies member plan eligibility relating to incoming correspondence and internal referrals.
- Processed claim referrals, new claim handoffs, nurse reviews, and complaints, including grievances and appeals, through target system to maintain workflow efficiency.
- Educates providers on our self-service options; Assists providers with credentialing and re-credentialing issues.
- Handled extensive file review requests and prepared complaint trend reports. (
- Handled extensive file review requests and prepared complaint trend reports.
Sales Associate-Seasonal
SONY ELECTRONICS
11.2012 - 01.2013
- Delivered outstanding customer service in line with mystery shop standards, enhancing customer satisfaction
- Assisted customers in locating merchandise in-store and online, facilitating special orders to meet their needs
- Answer customers' questions and provide information on procedures and policies
- Totals prices and tax on merchandise selected by customer using paper and pencil, cash register or adding machine; accepts payment following Established procedures for different types of transactions; makes change; issues sales receipt; calculates discounts when appropriate.
- Counts and balances cash register and receipts.
- Execute the daily operational, day-to-day goals and priorities assigned by store management
- Maintained merchandising and store cleanliness standards to create inviting shopping environment
- Participate in the processing of new shipments and help the team to keep the receiving and back stock area clean and organized
- Monitored safety protocols to ensure compliance
- Reported suspicious behavior to prevent theft
Specimen Technician
QUEST DIAGNOSTICS
05.2011 - 11.2011
- Set up, adjust, calibrate, clean, maintain, and troubleshoot laboratory and field equipment.
- Use computers, computer-interfaced equipment, robotics or high-technology industrial applications to perform work duties.
- Identified problems with specimen types and missing information, assigned appropriate TIQs, and resolved issues when possible.
- Demonstrates an understanding of the compliance policies related to test ordering, which requires developing the ability to research test ordering information on translation tables, computer system, and the directory of services.
- Understands the complex relationship between test(s) ordered and specimen received.
- Handled all duties of the Specimen Preparation Assistant.
- Analyzed experimental data and interpreted results to produce reports and summaries of findings.
- Demonstrates an ability to learn the job duties assigned to the SPT I, and develops an understanding of how all the functions in Specimen Processing fit together.
- Learns additional functions within Specimen Processing to allow timely progression to the next level.
- Meets standards for production and accuracy within 6 months.
- Keep detailed logs of all work-related activities.
- Completes all required written documentation, legibly and within the assigned time frame
- Executed tasks to support team objectives and operational needs.
Bank Teller
Wachovia Bank
01.2009 - 03.2010
- Delivered exceptional customer service by addressing financial inquiries and connecting customers with appropriate supervisory staff.
- Verified customer identities for transactions, validated and cashed checks
- Processed cash deposits and transactions and checks for deposit and check accuracy of deposit slip
- Executed cash withdrawals for customers
- Receive and verify loan payments, mortgage payments and utility bill payments
- Initiate and open new accounts
- Perform services for customers such as ordering bank cards and checks
- Perform specialized tasks such as preparing cashier's checks, personal money orders, issuing traveler's checks and exchanging foreign currency
- Maintain and balance cash drawer.
- Receive and count working cash at beginning of shift
- Recorded transactions accurately and promptly, ensuring compliance with bank procedures.
- Answer inquiries regarding checking and savings accounts and other bank related products
- Attempted to resolve issues and problems with customers' accounts
- Explained and promoted bank products and services, advising customers on suitable options.
Store Manager
BP GAS STATION MEDIA
05.2008 - 01.2009
- Handled scheduling, payroll, and hiring to maintain operational efficiency.
- Tracked and recorded inventory to ensure optimal stock levels.
- Maintain stock of the inventory.
- Monitored unresolved issues and prioritized follow-up actions.
- Maintain safe, comfortable and respectable environment.
- Acquired new skills independently and without formal training.
Education
Bachelor of Arts - English Literature
Gujarat University, L D Arts College
Ahmedabad10-2026
Skills
- Prior authorization
- Claims Processing
- Payer Guidelines
- Healthcare Compliance
- Medical Coding
- Billing Coordination
- Revenue Optimization
- Microsoft Office proficiency
- Data entry
- Customer needs analysis
- Strong Communication Skills
Languages
English
Full Professional
Hindi
Full Professional
Timeline
Supervisor, Patient Access
Globus Medical
01.2026 - Current
Supervisor Pre-Certification
Prompt Care Companies
09.2024 - 12.2025
Customer Service Manager
Dollar Island Mini mart
04.2018 - Current
Medicare Billing Specialist DME
Tricounty medical equipment company
04.2014 - 09.2016
Claims Customer Services Representative
AETNA
03.2013 - 11.2013
Sales Associate-Seasonal
SONY ELECTRONICS
11.2012 - 01.2013
Specimen Technician
QUEST DIAGNOSTICS
05.2011 - 11.2011
Bank Teller
Wachovia Bank
01.2009 - 03.2010
Store Manager
BP GAS STATION MEDIA
05.2008 - 01.2009
Bachelor of Arts - English Literature
Gujarat University, L D Arts College