Jerin Eldhose

Background

About Jerin Eldhose

Highly motivated and detail-oriented professional with 6+ years of invaluable experience. Specialist in Medicare insurance claim adjudication, dispute and appeal management, and medical billing. Exceptional skills handling complex transactions and ensuring compliance. Expert in transaction analysis, claim validation, and client interaction through various channels. Possess expertise in the utilization of Microsoft Office and internet applications, and excel in email management and claims submission to insurance companies. I'm well-equipped and ready to take on the challenges of the healthcare industry. Processing various transactions, such as payments, orders, or customer requests. Ensuring accuracy and completeness of data entered into the system. Reviewing and verifying documents and information for compliance. Maintaining compliance with HIPAA guidelines and regulations. Adjudicating claims for Medicaid, Medicare, and ambulance billing. Resolving any discrepancies or issues related to transactions. Maintaining records and documentation of transactions. Providing support and assistance to customers or clients regarding transaction-related inquiries. Reviewing and evaluating Medicare claims submitted by healthcare providers. Ensuring that claims comply with Medicare guidelines and regulations. Verifying patient eligibility and coverage for Medicare benefits. Determining the appropriate reimbursement amount for approved claims. Identifying and resolving any billing errors or discrepancies. Communicating with healthcare providers and beneficiaries regarding claim status and payment inquiries. Managing the dispute and appeal process for insurance claims or other related matters. Collaborating with internal teams, external stakeholders, and legal professionals to resolve disputes. Generated patient bills and invoices based on services provided. Calculated and applied appropriate fees, deductibles, and co-pays. Reviewed and reconciled patient accounts to ensure accurate billing. Coordinated with patients and insurance companies to resolve billing inquiries or disputes. Followed up on unpaid or denied claims and take necessary actions to obtain payment. Maintained accurate and complete records of patient billing information, including insurance details, treatments, and charges. Ensured compliance with privacy regulations when handling sensitive patient information. Organized and archive billing documents and records for future reference. Followed up on unpaid or underpaid claims and appeal or resubmit them as needed.