Receiving and verifying of all claims via electronic/hard copy.
Adjudicate claims and settling the claims in system as per company policy.
Provide services to client’s management as well as employee to ensure optimal handling of all claims and investigate all issues.
Monitor effectiveness of all programs and manage payment cycle with accounts department to ensure compliance to all contract requirements.
Ensure that all client deadlines are met, and procedures and practices in respect of claims administration are followed at all times.
Prepare payment sheet of the cheques to deposit in bank accounts.
Prepare monthly/quarterly/half yearly/yearly credit utilization reports.
Receiving and monitoring endorsements (addition/deletion).
Preparing recovery invoices of the clients.

Receiving and verifying of all claims via electronic/hard copy.
Adjudicate claims and settling the claims in system as per company policy.
Provide services to client’s management as well as employee to ensure optimal handling of all claims and investigate all issues.
Monitor effectiveness of all programs and manage payment cycle with accounts department to ensure compliance to all contract requirements.
Ensure that all client deadlines are met, and procedures and practices in respect of claims administration are followed at all times.
Prepare payment sheet of the cheques to deposit in bank accounts.
Prepare monthly/quarterly/half yearly/yearly credit utilization reports.
Receiving and monitoring endorsements (addition/deletion).
Preparing recovery invoices of the clients.

Managing a diversified portfolio consisting of premium corporate clients of public and private sector institutions.
Billing and invoicing of credit/panel patients, documentation of bills, preventing bad debts & solving company’s queries regarding billing, invoices and approvals. 
Assuring claims accuracy and appending of required documentation before submitting claims to clients.
Involves in In-Patient Admission and Discharge process.
Prepare business analysis report for enhancement of approvals/billing section process.
Monitor the billing status of admitted advance panel patient.
Acquire panel patient identification document (Ref Letter/Approvals, Insurance Card, employee card, verification Performa) from patient/attendant.
Acquire pre-authorization approval for panel patient through insurance companies or other panels by sending pre-authorization form through email.
Inform the patient/attendant regarding the hospitalization limits/entitlement covered by panel.
Request and acquire hospitalization extensions, limits enhancement or special procedure approvals.
Organize and file the documents.
Daily census to be monitored and mailed to respective panels.
Responsible for cost estimation of assigned accounts and cash recovery during hospitalization.
Coordinate with the panel doctor for the resolution of queries.
Maintaining vigorous & robust relations with corporate client’s i.e. relevant officials and ultimate beneficiaries to ensure that all operations are being carried out in an efficient manner. 
Assist department heads in devising new/updating existing policies and procedures to keep ourselves aligned with any changes at client’s end. Also responsible for Implementation of ongoing strategies to protect the rights and interests of the organization.
Resolving patient problems in compliance with policies shared by respective department.
Design and implement processes to improve cash flow through timely and effective collection of receivable.
Ensuring availability of sufficient, timely and accurate financial information to meet the needs of the patient, management, business unit and business support department.
Monitor receivables & collections and provide regular update of receivables to patient as well as management.

1. Managing Payable.
2. Bank reconciliation.
3. Preparing month end closing.
4. Managing daily cash balances.
5. Ensuring that cash flows are adequate to allow business units to operate effectively.
6. Maintain banking relationships.
7. Maintaining accounts system.
8. Working with COO, Director as well as CEO of the business to prepare budgets and track profit / loss performance.
9. Creating solutions to new financial challenges by applying financial/treasury knowledge.
10. Providing advice on financial matters impacting on the company as a whole.
11. Taking responsibility for, and supervising the work of, junior members of staff.
12. Preparing sale and financial reports and submissions to Senior Management.
13. Maintaining and transferring money between bank accounts as required.
14. Payment of invoices and fees as required or otherwise instructed.
15. Arranging reports for complete tax filings.
16. Preparation and disbursement of salaries in cash as well as in account.

1. Performing medical billing for doctors in U.S.A.
2. To insert charges and billing those to the insurance carriers.
3. Posting the payments in the software that are received from insurance carrier
4. To Tele-converse with insurance companies for claims followup.
5. To analyze and prepare appeals for rejected claims.
6. To resolve medical claims related issues of complex nature.
7. Monitoring & resolution of client complaints.
8. To ensure quality, timeless and accuracy in the entire billing process.
9. To assist Manager Operations in billing activities.
10. Follow upon Aged claims.

1. Accounts.
2. Visa Processing.
3. Protector Bureau.
4. Coordination with the company partners.
5. Tickets management and delivery.
6. Bank affairs.