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Somasundari Dilipkumar

@somasundaridilipkumar

Experienced medical billing specialist with strong revenue cycle management skills.

United States
Message

What I'm looking for

I am looking for a role that offers growth opportunities and values teamwork.

I am a dedicated medical billing specialist with over 5 years of experience in revenue cycle management. My journey began with a solid educational foundation in Bio-Chemistry, which has equipped me with a keen analytical mindset. I have honed my skills in various medical billing software and have a profound understanding of ICD 10, HCPCS, and CPT codes. My certifications as a Professional Coder and Medical Reimbursement Specialist further validate my expertise in this field.

In my current role at Augment Technology Solutions, I manage multiple practices across various specialties, leading teams to resolve billing discrepancies and improve overall efficiency. My ability to analyze aging reports and denials has significantly reduced outstanding balances, demonstrating my commitment to excellence. I thrive in collaborative environments, regularly conducting meetings with providers and team members to ensure seamless communication and optimal billing practices.

Throughout my career, I have been recognized for my leadership qualities and my ability to train and mentor new team members. I am passionate about continuous learning and am eager to leverage my skills to contribute to an organization that values growth and innovation in the healthcare sector.

Experience

Work history, roles, and key accomplishments

AS
Current

Provider Relations Representative

Augment Technology Solutions

Nov 2022 - Present (2 years 8 months)

Managed 13 practices across various specialties, overseeing 40 providers and 13 offshore teams to resolve billing issues and discrepancies. Analyzed aging reports and denials, collaborating with insurances, IPAs, and doctor's offices to reduce claim age days.

AS
Current

Provider Relations Representative

Augment Technology Solutions

Nov 2022 - Present (2 years 8 months)

Managed 13 practices across various specialties, overseeing 40 providers and 13 offshore teams to resolve billing issues and discrepancies. Analyzed aging reports and denials, collaborating with insurances, IPAs, and doctor's offices to reduce age days and streamline billing processes.

AS

Medical Billing Specialist

Ace Healthcare Solutions

Apr 2022 - Nov 2022 (7 months)

Processed denials and rejections from various insurances, adhering strictly to FQHC and HIPAA guidelines. Managed patient calls, processed payments, and communicated with insurance agents to resolve claim statuses and obtain authorizations.

AS

Medical Billing Specialist

Ace Healthcare Solutions

Apr 2022 - Nov 2022 (7 months)

Worked on denials and rejections from various insurances, adhering to FQHC guidelines. Handled patient calls, processed payments, and communicated with insurance agents to resolve claim statuses and authorizations.

Education

Degrees, certifications, and relevant coursework

VU

Valliammal College for Women, Madras University

Bachelor of Science, Bio-Chemistry

Grade: 1st class

Graduated with first class honors in Bio-Chemistry. Studied various aspects of biochemistry, gaining a strong foundation in scientific principles and laboratory techniques.

Tech stack

Software and tools used professionally

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Somasundari Dilipkumar - Provider Relations Representative - Augment Technology Solutions | Himalayas