Summary
Overview
Work History
Education
Skills
Certification
Work Availability
Timeline
Hi, I’m

Atalpal Thakur

Dombivli East
I feel that luck is preparation meeting opportunity.
Oprah Winfrey
Atalpal Thakur

Summary

Highly motivated and detail-oriented Medical Billing Specialist with 3 years of experience in the healthcare industry. Demonstrated expertise in performing pre-call analysis, resolving inquiries, and maintaining accurate documentation. Seeking a challenging position in medical billing and contribute to the success of a reputable healthcare organization

Overview

3
years of professional experience
1
Certification

Work History

Teleperformance Pvt Ltd

Senior Accounts Receivable
11.2021 - 05.2023

Job overview

  • Provided outstanding service by addressing inquiries, resolving issues with patient’s claim information through telephone conversations with Insurance Representative and Managed over 50+ calls per day.
  • Maintained clear audit trail by accurately documenting interactions, inquiries, and actions taken during customer calls.
  • Successfully reprocessed and appealed claims denied for prior auth, missing medical records, duplicate, non covered charges and services, short paid and partially paid claims which resulted into increase in payments collection by 10%
  • Promoted for line trainer where I trained new comers with proper use of RCM software like Citrix.
  • Provided support to other team members for on call queries.
  • Helped team leader to collate production file of team and allocating claims to all members for next day's production.

Gebbs Healthcare Solution Pvt Ltd

Accounts Receivable Associate
05.2020 - 11.2021

Job overview

  • Perform pre-call analysis by contacting payers, utilizing IVR systems, and web portal services to check claim status and resolve billing-related issues.
  • Maintain comprehensive documentation in client software, ensuring accurate and timely submission of necessary documents to insurance companies.
  • Record post-call actions and conduct thorough analysis for claim follow-up, identifying areas for improvement and implementing effective strategies while managing over 40 calls per day.
  • Assess and resolve customer inquiries, requests, and complaints promptly through telephone communication, providing exceptional service at first point of contact.
  • Conduct research on product and service information, including authorization, nursing notes, and medical documentation, to ensure accurate and informed customer interactions.
  • Analyze accounts receivable data to identify underpayments, days in A/R, and top denial reasons, utilizing appropriate codes for documentation of denials and underpayments for additional reimbursement the insurance for denied claims

Education

VIVA COLLEGE OF COMMERCE ARTS AND SCIENCE
VIRAR

HSC from MUMBAI UNIVERSITY
04.2018

NAVJYOTI ENGLISH MEDIUM SCHOOL
KALYAN

Ssc from MUMBAI UNIVERSITY
04.2016

Skills

  • Medical Billing and Appeals
  • Claim Reconciliation
  • Analyzing Insurance Contracts, Explanation of Benefit
  • Confidential Records maintenance
  • Knowledge of HMOs, Medicare and Medicaid
  • Proficient in Microsoft Office Suite (Word, Excel,Outlook) and electronic health record (EHR) systems
  • Analytical and problem-solving abilities to identify underpayment trends and denial reasons
  • Familiarity with medical billing codes and regulations, including CPT, HCPCS, and ICD-10
  • Ability to work effectively in fast-paced environments and adapt to changing priorities

Certification

ENGLISH

HINDI

MARATHI

Availability
See my work availability
Not Available
Available
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
swipe to browse

Timeline

Senior Accounts Receivable

Teleperformance Pvt Ltd
11.2021 - 05.2023

Accounts Receivable Associate

Gebbs Healthcare Solution Pvt Ltd
05.2020 - 11.2021

VIVA COLLEGE OF COMMERCE ARTS AND SCIENCE

HSC from MUMBAI UNIVERSITY

NAVJYOTI ENGLISH MEDIUM SCHOOL

Ssc from MUMBAI UNIVERSITY

Similar Profiles

CREATE PROFILE
Atalpal Thakur