Amitha J

[email protected] (+91)8904335427 Yelahanka, Bangalore- 562149

PROFESSIONAL SUMMARY

As a Senior Quality Analyst responsible for manual and EFT payment posting of insurance payments, patient payments, Credit Card payments. Along with preparation of Reconciliation report of all things posted the prior business day and performing Quality check as well.

WORK EXPERIENCE

Senior QA -Billing
06/2025 - Present
Strivant Health Global India Pvt Ltd , Mysore
Prepare reconciliation of claims reports at the end of each day and during month-end closing
Validate daily deposit logs submitted by clients to ensure accuracy and completeness
Conduct internal audits on an average of 500+ processed claims to ensure compliance and quality standards
Perform reconciliation of all charges on a daily, weekly, and monthly basis
Audit the accuracy of processed work, identify areas for improvement, and ensure adherence to organizational guidelines
Review and validate patient data within the billing software to maintain data integrity
Extract missing remittance information from the available web portal and update system records accordingly
Senior QA -Billing
10/2018 - 06/2025
Logix Health Solution Pvt Ltd , Bangalore
Received and reviewed charge documents from the clinic
Ensured charge information provided is correct and accurate
Entered information necessary for insurance claims such as patient, insurance ID, and treatment codes and modifiers, and provider information. Assured demographic information is correct prior to entering data into the system
Properly scanned all patient documents into correct patient charts
Accurately coded office and hospital consult, progress notes, surgeries, and procedures and enter charges into system
Followed up on claims and make corrections as needed
Confidentiality maintained patient and physician data
Responsible for timely and accurate posting of payments and adjustments to all
Specialist- Medical coding and Billing
01/2017 - 09/2018
Omega Healthcare Management Services , Bangalore
Researched credit balances to determine if the refund was due to the patient or the insurance company
Researched insurance companies to determine which one was primary or secondary
Worked correspondence letters from insurance companies
Maintained working knowledge of applicable laws and regulations as they relate to assigned responsibilities
Ensured that refund credits are issued to insurance providers and patients
Filing claims for charge entry services provided to patients and creating bills
Monitoring the status of claims and adjusting as needed
Creating and maintaining patient accounts for AMR billing
Adding procedure and diagnosis codes as per treatment
Checking and entering modifier details of patient

EDUCATION

Bachelor of Commerce
01/2014 - 01/2016
Tunga College-Thirthahalli. Kuvempu University GPA: 86%
Pre-University Education- Commerce
01/2012 - 01/2013
Tunga College - Thirthahalli GPA: 84.67%

SKILLS