ARUN KONJENGBAM
Bangalore
Summary
Detail-oriented Medical Billing and Revenue Cycle Management Specialist with extensive expertise in EHR systems and patient account management. Proven proficiency in claims processing, denials, appeals, and reimbursement management. Demonstrated ability to handle high-volume patient calls and ensure compliance with HIPAA and federal regulations. Strong track record in collections and addressing past-due accounts, contributing to overall team success.
Overview
13
13
years of professional experience
Work History
Lead Medical Billing Specialist,
Horizon Revenue Solutions
Remote
11.2021 - 05.2025
- Managed denials, appeals, and reimbursements to maximize revenue recovery.
- Led provider onboarding and credentialing processes, including payer enrollment, EFT enrollment, CAQH updates, PECOS, etc.
- Identified and corrected data inconsistencies, reducing claim rejections, and billing delays.
- Handled 25 to 30 patient calls daily, assisting with balance inquiries, insurance questions, and payment processing.
- Maintained strict confidentiality while delivering a professional and supportive patient experience.
- Updated medical records in compliance with HIPAA, and organizational standards.
- Detail-oriented Medical Billing and Revenue Cycle Management Specialist with extensive experience in EHR systems, patient account management, and credentialing.
- Skilled in handling high-volume patient calls, balancing collections, and processing payments while ensuring compliance with HIPAA, federal, and payer regulations.
- Adept at investigating overpayments, refunds, and adjustments, and recognized for accuracy, professionalism, and a patient-first approach.
- Completed appeals and filed and submitted claims.
- Provided customer service support to patients who had questions about their bills or payments due.
- Resolved discrepancies between insurance companies and patients regarding payment of bills.
- Monitored aging accounts receivable balances ensuring timely resolution of outstanding balances.
- Trained new team members on company policies and accounting systems to keep team operations productive and efficient.
Process Coordinator
AdvantEdge Healthcare Solutions
02.2017 - 01.2020
- Managed claim denials and worked on aged claims for resolution.
- Conducted high-dollar claims review and internal audits to ensure compliance.
- Streamlined processes to improve efficiency and reduce claim backlogs.
- Trained new joiners and provided floor support for RCM workflows.
AR Caller / Sr. AR Caller
Skyline Healthcare
10.2012 - 11.2016
- Monitored claim submissions (electronic and paper) and resolved denials.
- Handled No-Fault and Worker's Compensation claims, including appeals.
- Processed clearinghouse rejections and followed up on underpaid claims.
- Supported patient balance transfers and insurance verification activities.
Education
Bachelor of Arts - English
Osmania University
Hyderabad01.2007
Skills
- Patient communication and support
- Insurance verification
- HIPAA compliance and data security
- Payment posting and reconciliation
- Error identification and resolution
- Billing support and administration
- Credentialing processes
- Denial management and appeals
- Revenue cycle management
- EHR systems
- Payer enrollment
- Customer service support
- Problem solving
- Team training
- Denial management
- Medicare and medicaid process
- Patient collections
EHR Systems Experience
- Office Ally
- Advanced MD
- Tebra (Kareo)
- Simple practice
- Practice Fusion
- VM – virtual manager
- Nextgen
Affiliations
Beyond my professional role, I keep up with healthcare developments by attending webinars In my free time, I enjoy playing badminton and cooking traditional cuisines, which helps me maintain a balanced lifestyle
Accomplishments
- Awarded multiple times for outstanding performance and leadership contributions
Timeline
Lead Medical Billing Specialist,
Horizon Revenue Solutions
11.2021 - 05.2025
Process Coordinator
AdvantEdge Healthcare Solutions
02.2017 - 01.2020
AR Caller / Sr. AR Caller
Skyline Healthcare
10.2012 - 11.2016
Bachelor of Arts - English
Osmania University
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