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Quality Control Analyst
Quality Control Analyst at Omega Healthcare auditing medical billing and coding for accuracy, compliance, and fewer denials.
IndiaQuality Control Analyst at Omega Healthcare
Conducts audits of medical billing and coding processes to ensure accuracy and compliance. Provides feedback, training, and collaborates with teams to reduce denials and improve quality.
Quality AuditsMedical BillingCodingICD 10CPTHIPAARoot Cause AnalysisTrainingMicrosoft Office
Audited and managed 365+ aging AR claims, resolved complex financial discrepancies, and led training and calibration sessions to meet client quality and SLA metrics.
A R Follow UpDenial ManagementQuality AuditsTrainingSLA ComplianceMicrosoft Office
Audited high-aging AR portfolios, analyzed denial trends, and resolved insurance appeals and patient inquiries to improve claim resolution.
A R Follow UpDenial ManagementAppealsQuality AuditsInsurance VerificationMicrosoft Office
Executed end-to-end AR follow-up for professional claims, resolved denials, processed corrected claims, and maintained HIPAA compliance while meeting revenue targets.
A R Follow UpDenial ManagementAppealsClaims ProcessingHIPAAInsurance VerificationMicrosoft Office
Completed Higher Secondary Certificate (HSC) from Maharashtra Board.
Completed Secondary School Certificate (SSC) from Maharashtra Board.
Profile sourced from Himalayas.