Headline

Sr.Clinical Admin Co-ordinator@UHC.Optum (Fortune 5)|| Benefits & configuration || Certified Medical Biller || ICD9 || ICD10 || Revenue Cycle Management || Claim Adjudication || Medicare & Retirement Govt Benefits ||

About

I am HIPAA Certified Medical Biller/AR Specialist/Benefits & configuration having an extensive experience of 11 years in a US healthcare both for payer & providers. In which I have served to different specialties including °Emergency Room °Internal Medicine °Pathology °orthopedic °urology °Anesthesia °Pediatrics °Allergy & Immunology °Neurology °Behavioral Health °Oncology °Cardiology °Gastroenterology °Home Health °ENT °Pulmonary & Sleep Study Annual Wellness Visit/Telehealth/Housecalls/Wound Care Pulmonary/Sleep Study/urgent care/Emergency room/critical care/hospital and ambulance billing. I have also had a strong grip on different EMR/EHR and Billing Softwares including. Trizetto Facets, NiCE, Mitel, Allscripts, Paradigm, Citrix Thin & Thick Client, Genisys, scripter, I3 Cisco, Gmed, Madent,ECW, ECIN, EPIC,Genx, HCHB, Agile methodology, paid rights, Right Fax, Hawkeye, Cerner, Athena,Modmed,NextGen, Vital Axis, Vital Dx, GMR, Gandalf,Slashtop,Zoho office,salesNexus, Salesforce,Ring central,Ziply.

Location

Bengaluru

AI stack

claude

ChatGPT

Work experience

Sr. Process Associate at Flatworld Solutions, Feb 2026 - May 2026 · 4 mos, Bengaluru, Karnataka, India, Live Apointment scheduling coordinator at Ocala ENT & Pulmonary care.

Sr. RCM Executive at Redroad Healthcare Business Solutions, May 2025 - Sep 2025 · 5 mos, Bengaluru, Karnataka, India, Worked as Patient Intake coordinator for VNS health CHAA certified Home Health Agency, NY(130 Years old) Role was to do patient assessment on all incoming referrals from all the sources before home care begins. Scheduling home health care service like skilled nursing, physical therapy, occupational therapy, and Home Health Aide.

Sr. Process Associate at Flatworld Solutions, Nov 2024 - Jan 2025 · 3 mos, Bengaluru, Karnataka, India, Sr. Process Associate for Newport Orthopedic Institute (NOI). Role was to scheduling live appointment

Sr. Analyst at Starmark Software, Jan 2024 - Jun 2024 · 6 mos, Bengaluru, Karnataka, India, Patient financial services at unified womens healthcare lab.

Sr. Clinical admin coordinator at Optum, Jun 2021 - Sep 2022 · 1 yr 4 mos, Bengaluru, Karnataka, India, Positions in this function includes those responsible for initial triage of members, administrative intake of members or managing the admission/discharge information post-notification, working with hospitals and the clinical team. Includes managing incoming calls, managing requests for services from providers/members, providing information on available network services and transferring members as appropriate to clinical staff. Manages the referrals process, processes incoming and outgoing referrals, and prior authorizations. This function includes intake, notification and census roles.

Provider reimbursement specialist at LogixHealth, Oct 2019 - Jan 2021 · 1 y 3 mo, Bengaluru

Customer Service Associate at United Health Group, Sep 2013 - Nov 2017 · 4 y 2 mo, Bengaluru

Customer Service Associate at Aegis Limited, May 2011 - Jul 2013 · 2 y 2 mo, Bengaluru

Education

amity academy