Balaji Muthukrishnan

Hi team, thank you for opportunity. I have 10years experience in Medical Billing for hematology and oncology process. United States Doctors outsourcing to india. Very well knowledge Excel an vlookup formulas.

Groups Coordinator, 06/2012 to 08/2022
SCYO DECISION SERVICES PVT LTD - Chennai (INDIA), TamilNadu 
Process: HEMATOLOGY and ONCOLOGY 
Revenue Cycle Management (RCM) Medical Billing (United States)
Role:
 Responding to emails in timely manner. 
 Error trend analysis. 
 Doing Root Cause Analysis for valid retro's and providing action and 
mitigation plan to avoid retro impacts in future. 
 Verified Authorization for Drugs Codes and Tried to get retro 
Authorization to Authorization Department. 
 Training new folk's into team. 
 Doing compliance audit. 
 Tracking individual's performance based on metrics Production and 
Quality. 
 Monthly discussion with client IT team for enhance in software.

Responsibility:
 Doing month-end report for overall practice and individual provider-
wise Collection and Charge reports. 
 Doing daily basis client requested reports received thru Email. 
 Analysis for Overall denial claims (ERA & Scan Files & Fax denial & 
Email based denials). 
 Worked in Correspondence claims on daily basis. 
 Working in multiple clients Payment Posting. 
 Patient Payment Posting (Credit card & Check & Cash Payment). 
 Audit for Refund Claims (Overpayment & Duplicate Payment & Exceed 
payments). 
 Worked denial management. 
 Audit for some clients and Refund Process. 
 Prepared Appeals and Faxed and Mailing address (Authorization & TFL 
& Refund & Units exceeds & Par and Non-par providers & Incorrect 
billing appeals). 
 DDE Enter for Medicaid Claims. 
 Claims & Appeal updated Status Checking thru insurance websites. 
 Working on Clients Remote Desktop directly. 
 Worked in Rejection on daily basis.

Experienced in Medical billing software's:
 Medical Manager 
 E-clinical 
 Intergy 
 Epic 
 Iknowmed 
 Centricity 
 Genius Doc