ATUL KHARWAL
Jaisingpur
Summary
Detail-oriented PAP/DME Intake Specialist with extensive experience in patient intake, information entry, documentation review, and insurance verification. Proficient in Brightree and Brightree My Forms, including PAP workflows and Multiple Pricing Option processes. Strong knowledge of Medicare documentation, ICD-10/CPT coding, and authorization tracking, ensuring accuracy in patient records and efficient workflow coordination.
Overview
2023
2023
years of professional experience
Work History
Medical Prior Authorization Associate
Knock Global
Mohali
11.2021 - 01.2023
- Verified patient insurance coverage and financial responsibility, ensuring appropriate authorization for requested medical services.
- Performed medical billing activities and reviewed provider charges for date of service, procedures, level of care, diagnoses, patient identification, and provider signatures.
- Operated in fast-paced U.S. healthcare environment, prioritizing accuracy and quality in documentation processes.
- Managed PAP instruments and rental-item workflows to ensure efficient processing.
- Supported fax wrangling and data-entry processes by sorting incoming documentation into appropriate Brightree folders.
PAP / DME Intake & Authorization Specialist (DME)
Unity Healthcare Services
Mohan
03.2023
- Assisted outsourced U.S. Durable Medical Equipment (DME) providers with PAP intake, documentation, insurance, authorization, and billing workflows.
- Review PAP orders and supporting records for completeness and alignment with Medicare and applicable payer documentation requirements.
- Managed authorization requests by routing documentation, tracking status, and coordinating follow-up with relevant teams to facilitate timely approvals.
- Perform insurance verification and support authorization workflows using payer resources and available documentation.
- Handle PAP and oxygen re-authorizations to support continued service and documentation compliance.
- Created and maintained PAP patient information and demographic records, organizing required documentation to ensure accurate downstream processing.
- Use Brightree and Brightree My Forms for patientorder workflows, document verification, tracking, and record maintenance.
- Coordinated with internal departments to resolve documentation gaps and ensure seamless order progression through the workflow.
CLIENT / DME PROCESS EXPOSURE
- Outsourced U.S. DME provider support: Ochsner Health, Prism Medical Products, Nationwide Medical, Sleep Remedies, and ACU-Serve.
- Process coverage: insurance verification, prior authorizations, referral entries, initial PAP billing, Brightree/MPO workflows, PAP and oxygen documentation, development management, and documentation support.
Education
Bachelor of Civil Engineering -
L.K. Gujral Punjab Technical University
JalandharSkills
- Insurance verification
- Prior authorization
- DME intake
- Brightree navigation
- Medicare documentation
- Billing review
Personal Information
Title: PAP / DME INTAKE & DOCUMENTATION SPECIALIST
LANGUAGES
English, Hindi
TRAINING
30-Day Online Internship Program — Business & Communication Skills (Certified)
CORE EXPERTISE
- PAP / DME Intake
- Patient Creation & Data Entry
- Referral Entry & Processing
- ICD-10 / CPT
- Initial Billing / RCM
- DME Documentation Review
- Insurance Verification
- Medical Documentation
- MPO / Rental Item Workflow
- Authorization Tracking
- Brightree / Brightree My Forms
- Prior Authorization
- PAP Reauthorization
- Fax Wrangling & Document Sorting
- HIPAA / Compliance Awareness
TECHNOLOGY & SYSTEMS
- Brightree
- Brightree My Forms
- Microsoft Excel
- Payer/Insurance Portals
- Fax & Document Management Workflows
Timeline
PAP / DME Intake & Authorization Specialist (DME)
Unity Healthcare Services
03.2023
Medical Prior Authorization Associate
Knock Global
11.2021 - 01.2023
CLIENT / DME PROCESS EXPOSURE
Bachelor of Civil Engineering -
L.K. Gujral Punjab Technical University