Sheeba Bhaskaran
@sheebabhaskaran
Experienced Account Receivable Specialist in healthcare and pharma.
What I'm looking for
I am a precise and efficient medical billing professional with over 6 years of experience in the healthcare and pharma sectors. My expertise lies in optimizing inpatient, outpatient, and physician medical billing processes, ensuring accuracy in filing claims, and adeptly managing insurance contracts. I have successfully directed the implementation of new denial appeals and EOBs, significantly enhancing the overall revenue of the organizations I have worked with.
Throughout my career, I have achieved remarkable results, including a 20% reduction in claim denials and a 15% increase in coding accuracy through the implementation of electronic health record systems. My leadership experience includes managing diverse teams, fostering a culture of continuous improvement, and advocating for patients to ensure timely payments from insurance companies. I am committed to enhancing billing accuracy and operational efficiency, which has led to substantial revenue recovery and cost reduction.
Experience
Work history, roles, and key accomplishments
Account Receivable Quality Lead
Omega Healthcare
Aug 2023 - Nov 2024 (1 year 3 months)
Led the Account Receivable management team, implementing strategic improvements in billing procedures that reduced claim denials by 20%. Oversaw the transition to a new electronic health record system, enhancing coding accuracy and increasing overall revenue by 10%. Managed a team of 10, fostering continuous improvement and professional development.
Account Receivable Quality Control Specialist
Omega Healthcare
Sep 2022 - Sep 2023 (1 year)
Conducted detailed audits of billing and coding practices for appealed claims, providing targeted feedback to enhance quality and success rates. Collaborated with team members to implement quality improvement initiatives, achieving a stakeholder standard SLA of 97% per month.
Account Receivable Senior Analyst - SME
Guidehouse
Oct 2019 - Sep 2022 (2 years 11 months)
Reviewed remittance codes and managed billing inconsistencies, recovering $250,000 in lost revenue. Trained new employees in revenue cycle management best practices, significantly reducing onboarding time. Stayed updated with healthcare regulations and reimbursement practices.
Account Receivable Analyst
Omega Healthcare
Jul 2017 - Oct 2019 (2 years 3 months)
Managed account receivables for Blue Cross Blue Shield plans, working collaboratively with management and AR specialists to optimize revenue cycle processes. Resolved denied claims and ensured maximum reimbursement through effective claim submissions.
Education
Degrees, certifications, and relevant coursework
James College of Engineering and Technology
Bachelor of Computer Science and Engineering, Computer Science and Engineering
2013 - 2017
Bachelor of Computer Science and Engineering, focusing on the principles of computer science and engineering practices, preparing students for careers in technology and engineering fields.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
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