Insurance Eligibility and Benefits Verification

Insurance Eligibility and Benefits verification is the initial and the most powerful tool in the Medical billing process. The verification of plan benefits has evolved well beyond Co-pays and Deductibles. It is no longer a simple online eligibility check. Millions of claims denied every day due to the lack of verifying benefits information prior to services being rendered.

To be a successes full practice, it requires an experienced staff to works with the Insurance companies to obtain the Real time patient’s In-network / Out of network benefits information. This helps avoid claim rejections or denials in the first submission and keep the patients pre informed on their Out of Pocket or Out of network expenses. thus reimbursement increase.

BlissMD Healthcare solutions offer Insurance Verification Service as a stand alone or a customized service along with Revenue Cycle Management.

Our Real time benefits verification experts will help you validate the following information

Coverage
Information

Pre-existingConditions

Policy status &
Plan type

Plan Exclusions and Limitations

Network benefits for the CPT/HCPCS code

Co-pay, Co-insurance & Deductibles with Amount met

Authorization requirement for the procedure

Benefits maximum and Out of Pocket Maximum

Referrals
Requirements

Claims MailingAddress

It is essential that every practice have Eligibility and Benefits verification done prior to rendering services to the patients. This helps to increase clean claim transmission, improve cash flow, minimize bad debt and increase patient satisfaction.

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Neelaveni Jayakumar

Sr. Manager – RCM

Neelaveni comes with nearly 10 years of experience in the healthcare industry spread across home health, In-Patient, Out patient, anesthesiology and radiology environment. Her specific areas of expertise are Revenue Cycle Management and Managed care contract negotiations. Prior to joining BlissMD Healthcare Solutions, she has spent a considerable amount of time working in Banking sector, Life Insurance and Health Insurance companies.

Neelaveni has a solid understanding of all aspects of revenue cycle management with a focus on best practices and expected outcomes to bring and show value at the client level, she has immensely contributed towards BlisMD’s continuous growth, innovation and expansion. Her strength includes client co-ordination, process enhancements and handling escalations, which comes from spending a significant amount of time in managing all billing processes resulting in increased savings and process improvements for the clients she has managed. She has completed a Bachelor’s degree in Mathematics and Science.

Elanchezhiyan A (Dean Mayor)

Founder and CEO

Elanchezhiyan is the Founder and a Chief Executive Officer at BlissMD Healthcare Solutions. He has more than 15 years of experience in US Healthcare industry. Elan created the company in the year 2013 and through his brilliant track record in leadership, management, and operational experience; He made BlissMD a cost effective, client centric, client oriented and most preferred Revenue Cycle Management service provider.

As a CEO of the Company, He oversees the strategic direction of the organization and upholds the company’s position at the forefront of the industry. Under his direction, the Company enjoys a rapid growth and achieves higher rate of customer retention, employee’s satisfaction and add new talents every day.

As a Founder of BlissMD, Elan brings an incredible amount of industry knowledge and relationships that he has built through the years while working in senior management positions in various US-based healthcare services companies. Personally, He is a peace loving Man. He likes playing chess, practicing yoga and Meditation.

Qurathul Zahira

Sr. Manager – Coding operation

As an accomplished healthcare professional with nearly 13 years of experience, Qurathul Zahira has successfully managed the operations, deliverables and audit functions for BlissMD’s coding department. Qurathul has been with BlissMD Healthcare Solutions since its inception. Qurathul is a certified professional coder. She holds a Master’s degree in physiotherapy (M.P.T) and has previously served as a physiotherapist in hospitals and nursing homes. Her Knowledge and understanding of Hospital and Professional fee coding has helped the organization cater to niche demands from clients.

Qurathul is also a subject matter expert of HCC Coding and regulations and this has helped BlissMD support payer side of business. In her current role, She plays a key role in planning overall organizational strategy, growth and customer satisfaction within coding services and Technology. Her client centric work ethic coupled with her focus on streamlining processes has helped BlissMD manage, retain and grow new and existing coding accounts.

Rajiv Manoharan

Sr. Manager – IT and Compliance

Rajiv Manoharan leads the IT and Compliance dept at BlissMD Healthcare Solutions. He and his team acts as BlissMD’s technical safeguards. Under Rajiv’s supervision his team monitors the patient’s electronic ePHI to keep it safe from any threats and control the access to it. He ensures all HIPAA technical safeguard standards are implemented strictly in the organisation without any breach. He ensures his team is kept updated to face any new security challenges.

Rajiv also takes the responsibility of managing full project lifecycle right from accessing the requirements of the project in accordance with the IT strategy, architecture, analysis and building solutions in line with customer requirements, testing, deploy and end-user training (technical and non-technical audiences).

He specializes in IT data security and project management. He has nearly 16 years of experience in the IT and web content management domains and brings in his creative problem-solving and analytical skills to the table. Prior to joining BlissMD Healthcare Solutions, He worked with organizations such as Chettinad Academy of Research & Educations., Dpro Technologies Pvt Ltd, etc.

Revathi R

Manager – Accounting and Finance

Revathi is one of the key decision makers for BlissMD’s over all administration. Revathi ensures the organization is in full compliance with the Law. Under her leadership the company’s Accounting and Finance department executes company’s receivables, payables, payroll, financial controls and financial reporting as per industrial standards. She is a BTech graduate and holds an MBA in accounting. Prior to joining BlissMD, she has spent a considerable amount of time working as a chief accountant in a reputed organization.

As a part of BlissMD’s leadership team, she has been one of a driving initiative to build a skilled and united workforce. She meticulously maintains and up skills the organization’s standards by implementing and evaluating the employees relationship policies and programs. She is known as a high energetic and a positive leader, who loves to face challenges and works smart to achieve it.