Ashwani Kumar
Mohali
Summary
Accounts receivable and medical billing professional with 1.5 years of experience in claims processing, insurance verification, prior authorizations, denials, appeals, and payment adjustments. Demonstrates strong skills in communication, problem-solving, and process optimization. Proven ability to enhance accuracy and productivity while ensuring timely results.
Overview
3
3
Languages
2
2
years of professional experience
Work History
Account Receivable Executive
Crystal Voxx Global
Ahmedabad
03.2024 - 07.2024
- Processed medical claims using specialized billing software and systems.
- Collaborated with healthcare providers to clarify billing inquiries and procedures.
- Completed appeals while filing and submitting claims promptly.
- Applied payment adjustments and denials into the medical manager system accurately.
- Assisted in training new staff on billing practices and software usage.
- Prioritized tasks to meet service goals and ensure timely claim processing.
- Analyzed process flows to identify improvement areas, resulting in increased operational efficiency.
- Conducted discovery and due diligence on existing processes with cross-functional teams to identify enhancement opportunities.
Accounts Receivable Process Associate
Knack Global
Mohali
10.2022 - 02.2024
- Reviewed and processed insurance claims for accuracy and timely submission.
- Managed denial resolutions by reviewing claim details and collaborating with relevant departments. and worked on them.
- Obtain prior authorizations for medical procedures and medications
- Verified patient insurance coverage and eligibility
- Communicated with insurance providers for approval and medications.
- Trained new staff on claims processing procedures and best practices.
- Maintained knowledge of industry techniques and methods to enhance competitive advantage and support business growth.
- Contributed to special projects aimed at increasing productivity and advancing company mission.
- Leveraged software and tools to streamline processes and improve operational performance.
Education
Bachelor of Science - Biotechnology
Kalinga University
Raipur, CG01-2020
10th & 12th -
Kendriya Vidayala No.1 Roorkee
Roorkee, UK01-2016
Skills
- Medical billing software
- Claims processing
- Claims Resolution
- Analytical Skills
- Attention to Detail
- Problem Solving Skills
- Microsoft Office
- Adaptability
- Project Management
Hobbies and Interests
- Sports
- Traveling
- Photography
Languages
English
Proficient (C2)
C2
Hindi
Native
Native
Punjabi
Beginner (A1)
A1
Timeline
Account Receivable Executive
Crystal Voxx Global
03.2024 - 07.2024
Accounts Receivable Process Associate
Knack Global
10.2022 - 02.2024
Bachelor of Science - Biotechnology
Kalinga University
10th & 12th -
Kendriya Vidayala No.1 Roorkee