JATIN JETHVA

• Established positive and effective communication among unit staff and organization leadership, reducing miscommunications, and missed deadlines.
• Worked in matrix management environment with oversight of division level managers, operations, sales, finance, human resources, safety, and compliance.
• Supervised operations staff and kept employees compliant with company policies and procedures.
• Implemented process improvement to shape organizational culture, optimize procedures for higher efficiency and help company evolve and grow.

• Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
• Reviewed patient records, identified medical codes, and created invoices for billing purposes.
• Complied with HIPAA privacy and security regulations to protect patients' medical records and information.
• Assisted patients by determining financial assistance available and setting up payment plans.
• Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
• Aligned organizational objectives with company mission to increase business growth and integrate work strategies.
• Oversaw billing for Medicaid PCA, waiver and skilled claims, commercial insurance and private pay clients.
• Submitted electronic and paper claims to insurance companies, Medicare and Medicaid to collect medical payments.
• Researched and followed up on denied insurance claims.
• Generated reports and analyzed trends to maximize reimbursement and reduce claim denials.
• Communicated with insurance providers to resolve denied claims and resubmitted.
• Maintained current accounts through aged revenue reporting.
• Posted charges, payments, and write-ups for cardiovascular procedures.
• Reviewed services rendered and completed reconciling codes.
• Scheduled patients in Medical Manager System.
• Hired and managed 8 new members to drive business growth