DEEPAK PAVAR
Ahmedabad
Summary
Results-driven Sr. Process Associate with extensive experience at Pacific BPO, excelling in denial management and claims resolution. Proven expertise in ICD-10 coding and effective communication with insurance providers. Adept at navigating complex billing systems while fostering collaborative relationships, ensuring timely collections and optimal reimbursement outcomes.
Overview
6
6
years of professional experience
Work History
Sr. Process Associate
Pacific BPO (An Access Healthcare Company)
Remote
07.2022 - Current
- Denial Management: Resolve denied claims and submit appeals for
reimbursement. - Eligibility Verification: Verify insurance eligibility and benefits before service.
- AR Follow-up: Manage outstanding AR accounts and ensure timely collections.
- Claim Resubmission: Resubmit denied claims with proper documentation.
- CPT Code Authorization: Obtain prior authorization for CPT codes to prevent rejections.
- Billing Systems: Process claims using ICD-10, CPT, and HCPCS codes.
- Insurance Knowledge: Assess coverage and claim requirements for various policies.
- Communication: Resolve billing issues with insurance, providers, and patients
Team Coordinator (Sr. Process Associate)
IGLOBAL KPO SERVICES LLP
04.2019 - 04.2022
- Working on the claims for patients and coordinating with insurances to get collections
- Following up on unpaid claims within standard billing cycle time frame
- Working on the daily emails for clients, billing team
- Experience in filing claim appeals with insurance companies
- Ability to multi-task and work courteously and respectfully with fellow employees
- Familiar with Medicare, Horizon BCBS, Aetna, Cigna and all commercial insurances
- Worked on Eligibility and Verification on daily basis for multiple insurances
- Having good experience in Verification of benefits under chiropractic, physical therapy and acupuncture therapy and pain management
- Verify insurance eligibility for medical insurances for upcoming appointments by utilizing online websites or by contacting the carriers directly
- Working on Daily Denial Reports received from insurances
- Following up on unpaid claims within standard billing cycle time frame
- Working on Daily Authorization for PIP, Medical Providers
- Worked for New Jersey, New York, Pennsylvania Providers
Education
Masters - Psychology
CU Shah Arts College
Ahmedabad01.2019
Bachelor - Psychology
CU Shah Arts College
Ahmedabad01.2017
H.S.C -
Sheth C L Hindi High School
Ahmedabad01.2014
Computer Basic Course -
Gujarat Knowledge Society
Ahmedabad01.2014
Skills
- Familiar with Chat GPT, Gemini and Various AI Tools
- Operating Systems - Windows 11
- Software - Microsoft Office
- Proficiency in Internet Research and surfing
Personal Information
- Date of Birth: 04/16/1997
- Marital Status: Single
Volunteer Experience
- Udan Foundation, Volunteer
- JOY Education & Charitable Trust, Volunteer
Career Recital - Objective
To become a successful person in my life, I want to be a part of an organization whose environment promotes team effort and provides opportunity for value-based growth.
Other Information
Good Taste of Music to keep Mind fresh and relax, Traveling and exploring, Personality Development, Politics, Gym, Hindi, Gujarati, English
Timeline
Sr. Process Associate
Pacific BPO (An Access Healthcare Company)
07.2022 - Current
Team Coordinator (Sr. Process Associate)
IGLOBAL KPO SERVICES LLP
04.2019 - 04.2022
Masters - Psychology
CU Shah Arts College
Bachelor - Psychology
CU Shah Arts College
H.S.C -
Sheth C L Hindi High School
Computer Basic Course -
Gujarat Knowledge Society
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