riya sharma

Certified in Epic Resolute Professional Billing and Proficient in Professional Billing Claims

* Reviewed and prepared claims for electronic and hardcopy billing submission * Worked closely with the coders to validate accuracy * Worked closely with the insurance companies of different markets to look at insurance specific contracts for services and medications * Looked at trends in rejections from the clearinghouse and communicated trends to the department * Assisted with implementation of solutions to reduce front-end errors and improve the revenue cycle * Experience with OnBase, Practice Velocity, Microstrategy, SharePoint * Knowledge of medical insurance systems, government programs, electronic data exchange, medical documentation, Evaluation and Management, health insurance claim forms, and health insurance policies

* Clerical and secretarial duties * Maintaining patient records * Assisting with patient dismissals * Entering charges into information systems accurately * Communicating with patients/families using age appropriate language * Interpreting and entering orders into the computer system in accurate, timely manner

Health System Informatics Resources, Hands on Experience with EPIC

Understanding and following applicable Federal and State laws (e.g., HIPAA), regulations (e.g., OSHA) Following workflow procedures with an in-depth understanding of each workstation (i.e., Pick- Up, Drop-Off, Drive-Thru, Production) for day-to-day coordination and processing of patient medication orders

International Baccalaureate Graduate Activities and Societies: Mu Alpha Theta, National Honor Society, Asian Club

Coursework on Business Communication, Organizational Behavior, Leadership Management, Biology, Medical Terminology, Chemistry, Microbiology, Immunology, Genetics, Forensic Science, Psychology, etc. Activities and Societies: Medical and Dental Preparatory Association, Nepalese Student Asoociation

Coursework on Organizational Behavior, Leadership Management, Human Resource Management, Ethics, Financial accounting, Managerial Accounting