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shah palak

@shahpalak

Virtual Dental Project Manager at Smyl Manatee, managing clinic operations and hands-on audits across eligibility, billing, posting, and AR.

India

Message

What I'm looking for

I'm seeking an organization with a professional environment and excellent growth opportunities, where I can contribute my skills and knowledge to the organization and pursue my career goals.

At Smyl Manatee, I manage dental clinic administration virtually, coordinate with labs and vendors, and manage HR for the USA and India teams. I also manage the front scheduling and Dental RCM teams, with hands-on audits of eligibility, billing, posting, and AR.

Previously, I worked in US healthcare medical billing and in-office medication dispensing at Axial Health consult pvt limited and IGlobal KPO Services LLP. My experience includes RCM, medical coding, claims, payment posting, medication prior authorization, and pharmacy credentialing; earlier, at Intas Pharmaceutical Ltd., I handled quality assurance documentation and GMP-related work.

Experience

Work history, roles, and key accomplishments

Current

Virtual Dental Project Manager

Current

Smyl Manatee

Feb 2024 - Present (2 years 7 months)

Working as the virtual project manager for a dental clinic, managing administrative work, lab and vendor communication, HR for USA and India teams, and overseeing front scheduling and dental RCM teams with hands-on audit of eligibility, billing, posting, and AR.

Project Management Dental RCM Eligibility Verification Billing Payment Posting Accounts Receivable HR Management Vendor Management Team Leadership

Assistant Team Lead

Axial Health Consult Pvt Ltd

Jun 2021 - Feb 2024 (2 years 8 months)

Worked as a USA healthcare medical biller with the RCM cycle, and as a senior clinical pharmacist handling medication prior authorization and refills. Oversaw daily billing functions including medical coding, charge entry, payment posting, and reimbursement management.

Medical Billing RCM Medical Coding CPT ICD 10 CMS 1500 Payment Posting Reimbursement Management Prior Authorizations Medication Refill Clinical Pharmacy Insurance Eligibility Rejection Analysis

Senior Process Associate

Axial Health Consult Pvt Ltd

Jun 2020 - Jun 2021 (1 year)

Medical Billing RCM Medical Coding CPT ICD 10 CMS 1500 Payment Posting Reimbursement Management Prior Authorizations Medication Refill Clinical Pharmacy Insurance Eligibility Rejection Analysis

Senior Process Associate

IGlobal KPO Services LLP

Dec 2017 - Jun 2020 (2 years 6 months)

Handled US healthcare in-office dispensing and medical billing, including EVBV and posting to submit claims to insurance companies. Managed pharmacy credentialing, medication management, and trained clients on web-based software for real-time pharmacy reimbursement adjudication.

Junior Executive in Medical Billing

Fedora Solutions

Oct 2016 - Dec 2017 (1 year 2 months)

Oversaw daily billing department functions including charge entry, claims, payment posting, and reimbursement management. Examined patient encounter forms to verify diagnosis codes, input procedure and diagnosis codes into billing software, and followed up on past due invoices.

Medical Billing Charge Entry Claims Processing Payment Posting Reimbursement Management ICD 10 CPT Billing Software Accounts Receivable HIPAA compliance Medical Records Auditing

Senior Officer

Intas Pharmaceutical Ltd

Jul 2011 - Oct 2016 (5 years 3 months)

Handled daily documentation activities in packaging, sampling of in-process samples, line clearance, and management of control samples. Prepared Quality Assurance SOPs, ensured GMP compliance, reviewed BPCR and BSR transfer, and performed stock posting and batch release on SAP.