Jetal Vora
Los Angeles,CA
Summary
Professional medical billing specialist prepared to drive efficiency and accuracy in healthcare financial operations. Adept at handling billing processes, insurance claims, and patient accounts with precision. Strong focus on team collaboration and delivering results, adaptable to changing needs. Skilled in coding, compliance, and using billing software, with reliable and results-driven work ethic.
Overview
18
18
years of professional experience
Work History
Patient Account Representative
Managed Homecare INC.
01.2024 - Current
- Reviewed insurance eligibility and verified coverage details to minimize claim denials and delays in payment.
- Requested authorization as needed.
- Submitted claims to insurances and follow up on status.
- Appealed out of network claims for GAP exception.
- Posted EFT and paper EOB payments.
- Sent patient statement and did follow up calls for payments.
- Posted payments and processed refunds.
Hotel Manager
Central Inn Motel
01.2011 - 09.2023
- Managed daily operations for smooth functioning of the hotel, ensuring high-quality standards in all departments.
- Improved overall guest satisfaction by implementing well-coordinated staff training programs and exceptional customer service initiatives.
- Hired and trained new employees, demonstrating best methods for serving clients and guests.
- Fostered a positive work environment by promoting teamwork, open communication, and continuous employee development opportunities.
- Provided services efficiently and with high level of accuracy.
Billing Specialist
Doc4Kids
01.2007 - 12.2010
- Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
- Managed patient accounts effectively, resolving discrepancies and addressing outstanding balances in a timely manner.
- Filed and updated patient information and medical records.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
Education
Certificate -
Medical Billing
Lakewood, CA09.2006
Skills
- Typing skills
- Computer skills
- Problem solving
- Independent work
- Microsoft Office
- Customer service
- EMR knowledge
- Medical terminology
- Payment processing
- CPT knowledge
- CMS-1500 billing forms
- ICD-10
- Multitasking and organization
Languages
English
Full Professional
Hindi
Full Professional
Gujarati
Native or Bilingual
Timeline
Patient Account Representative
Managed Homecare INC.
01.2024 - Current
Hotel Manager
Central Inn Motel
01.2011 - 09.2023
Billing Specialist
Doc4Kids
01.2007 - 12.2010
Certificate -
Medical Billing
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