Highlights:One of my key career highlights was achieving a 99% success rate in collecting payments from insurance companies, particularly in the specialized area of Oxygen and PAP billing. This accomplishment was a result of my deep understanding of the billing process and my ability to effectively communicate with insurance providers. By reducing claim denials and ensuring timely reimbursements, I was able to significantly contribute to the financial health of the organization. This experience has reinforced my commitment to accuracy and efficiency in medical billing and coding, and I’m excited to bring these skills to your team

Skills:Medical Biller & Coder, Claim Specialist, Medicare, DME Billing, Physician Billing, Urgent Care Billing

Goal:My primary career goal is to continue developing my expertise in medical billing and coding, particularly in Durable Medical Equipment (DME) & Physician billing. I aim to become a Senior Medical Coder or Billing Supervisor in the next few years, where I can lead a team and contribute to improving billing processes and accuracy. I am also interested in earning additional certifications, such as CPC & Certified Professional Medical Auditor (CPMA), to enhance my skills and bring more value to the company. Ultimately, I want to play a significant role in optimizing the revenue cycle and ensuring compliance with industry standards, which I believe will contribute to the organization's success

Membership:Currently, I am not a member of any professional organizations, but I am very interested in joining relevant industry groups such as the American Academy of Professional Coders (AAPC) or the American Health Information Management Association (AHIMA). I believe that being part of these organizations would provide valuable networking opportunities and keep me informed about the latest developments and best practices in medical billing and coding. In the meantime, I actively stay updated with industry trends and changes through online resources, webinars, and industry publications

Certification:While I currently don't hold any formal certifications, I have over 6+ of hands-on experience in medical billing and coding, particularly in Durable Medical Equipment (DME) billing. My practical knowledge has allowed me to achieve a 99% success rate in collecting payments from insurance companies. I am committed to continuous learning and professional development, and I plan to pursue certifications like the Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) in the near future to further enhance my skills and contribute even more effectively to your team

Honor:I was recognized as 'Employee of the Year' for my dedication and contributions to improving our billing accuracy and reducing errors. This award is a testament to my commitment to excellence in medical billing and coding

Team Leader 07/2023 - current
Medkarma Medical Billing Services, Mohali, Punjab India
Industry: Healthcare
Experienced Team Leader in Medical Billing and Coding with over 6 years of expertise in managing high-performing teams, specializing in Durable Medical Equipment (DME) billing, Oxygen and PAP billing, and claims management. Proven ability to oversee end-to-end revenue cycle processes, ensure coding accuracy, and maintain compliance with industry regulations such as HIPAA.
As a Team Leader in Medical Billing and Coding, I am responsible for overseeing a team of billing and coding specialists, ensuring the accurate and efficient processing of medical claims. I manage day-to-day operations, coordinate workflow, and ensure compliance with coding standards such as ICD-10, CPT, and HCPCS. My role involves monitoring the entire revenue cycle, from patient billing and insurance claims to payment collection and denial management. Key responsibilities include: Leading and mentoring a team of medical billing and coding professionals to meet performance goals and maintain a high standard of accuracy. Ensuring timely submission of claims to insurance companies, resolving claim denials, and optimizing reimbursement rates. Collaborating with healthcare providers, insurance companies, and other departments to resolve billing discrepancies and streamline processes. Implementing process improvements to reduce claim denials and increase collection rates. Ensuring compliance with industry regulations, including HIPAA, and staying up-to-date with changes in medical coding and billing practices. Conducting training sessions for staff on new coding guidelines and billing software. I am committed to driving team productivity, enhancing workflow efficiency, and delivering high-quality billing services to support the financial success of the organization.--
Resolution Specialist 03/2020 - 07/2023
UNIFY HEALTHCARE SERVICES, Mohali, Punjab India
Industry: Healthcare
Detail-oriented Resolution Specialist in Medical Billing and Coding with extensive experience in analyzing and resolving claim denials, payment discrepancies, and billing issues. Skilled in ICD-10, CPT, and HCPCS coding, I specialize in identifying root causes of billing problems and working with insurance companies and healthcare providers to ensure timely and accurate reimbursement.
As a Resolution Specialist in Medical Billing and Coding, I am responsible for identifying, analyzing, and resolving issues related to denied or delayed medical claims. My role involves collaborating with insurance companies, healthcare providers, and billing teams to ensure accurate and timely reimbursement. I utilize my extensive knowledge of ICD-10, CPT, and HCPCS coding to investigate billing discrepancies and correct coding errors. Key responsibilities include: Investigating and resolving claim denials by reviewing medical records, coding, and payer policies. Collaborating with insurance companies to appeal denied claims and follow up on outstanding payments. Analyzing denial trends and providing recommendations to prevent future denials and improve coding accuracy. Ensuring compliance with industry regulations, including HIPAA, and staying current on coding updates and payer requirements. Communicating effectively with providers and billing teams to clarify documentation and billing requirements. Preparing detailed reports on resolution outcomes and maintaining accurate records of all interactions. In this role, I am committed to optimizing the revenue cycle, reducing claim denial rates, and improving the financial performance of healthcare organizations through efficient resolution strategies.--
Senior Process Associate 08/2019 - 01/2020
BRAIN BRIDGE INNOVATIVE SOLUTIONS, Mohali, Punjab India
Industry: Healthcare
Experienced Senior Process Associate in Medical Billing and Coding with a proven track record of managing complex billing processes, improving workflow efficiency, and ensuring accurate claim submissions. With expertise in ICD-10, CPT, and HCPCS coding, I excel in identifying process improvements, reducing claim denials, and enhancing revenue cycle performance
As a Senior Process Associate in Medical Billing and Coding, I am responsible for managing and optimizing key aspects of the medical billing process, ensuring accuracy in coding, claims submission, and payment collections. With a deep understanding of ICD-10, CPT, and HCPCS coding, I work closely with billing teams to identify process improvements, reduce claim denials, and ensure compliance with healthcare regulations. Key responsibilities include: Overseeing the accurate submission of medical claims to insurance companies, ensuring all coding and documentation align with industry standards. Analyzing claims data to identify trends and implement strategies to reduce denials and improve reimbursement rates. Collaborating with healthcare providers, insurance payers, and internal teams to resolve billing discrepancies and ensure timely payment. Conducting audits to ensure compliance with regulatory requirements, including HIPAA, and staying current with coding updates and industry standards. Mentoring junior associates and providing guidance on best practices in medical billing and coding processes. Preparing detailed reports on billing performance and resolution outcomes to support management in decision-making. In this role, I focus on enhancing operational efficiency, ensuring accurate coding practices, and driving the financial success of healthcare organizations through effective process management.--

Sh. Jainendra Gurukul School, India, Panchkula 04/2014 - 03/2015
Panchkula, Haryana, India
Degree: High School Or Below
Major:Commerce
• Science Club: For students interested in scientific exploration and experiments. • Math Club: Focuses on advanced problem-solving and math competitions. • Literary Club: For those passionate about writing, reading, and literature. • Debate Club: Helps develop public speaking and argumentation skills. • Student Council: Provides leadership opportunities and organizes school events. • Quiz Competitions: General knowledge and subject-specific quizzes.

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