Gaurav
Yamunanagar
Summary
Motivated and detail-oriented professional with 1 year of experience in medical retail operations and 1 year in U.S. healthcare processes including medical billing, prior authorization, and claim adjudication. Adept at ensuring accurate documentation, maintaining compliance, and delivering efficient patient service. Seeking to leverage my foundational knowledge of the healthcare revenue cycle and pharmacy operations in a dynamic role that offers growth and skill development in the medical administration or healthcare support domain.
Overview
2
2
years of professional experience
Work History
Assistant Process Associate
Medkarma
Mohali
08.2025 - Current
- Reviewed denied claims to identify reasons for rejection.
- Researched payer policies to ensure compliance with regulations.
- Communicated with insurance representatives to resolve claim issues.
- Documented denial trends for analysis and reporting purposes.
- Analyzed and interpreted policy language, medical records, and other relevant data to identify coverage issues.
- Identified any discrepancies in patient information, provider information, or coding accuracy as part of the denial process.
- Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
- Utilized critical thinking skills to evaluate denial patterns and recommend process improvements.
- Participated in regular training sessions to stay updated on changes in healthcare regulations and insurance policies.
Junior Process Associate
Knack Global
04.2025 - 08.2025
- Eligibility Verification
- Authorization
- Denial understanding
- AR Calling
- Claims Adjudication
Inventory And Sales Manager
E.G. Pharmaceutical
Yamunanagar
01.2024 - 03.2025
- I was responsible for carefully examining the medication that customer needs, also i believe in building good relationship with them.
- Other than this i did regular inventory checks and made orders if needed.
Education
MS/M.Sc(Science) -
Chaudhary Charan Singh Haryana Agricultural University
B.Sc -
Kurukshetra University
Skills
- Claims analysis
- Denial resolution
- Payer policy research
- Eligibility verification
- Claims adjudication
- Effective communication
- Team collaboration
Languages
- Hindi
- Punjabi
- English
Timeline
Assistant Process Associate
Medkarma
08.2025 - Current
Junior Process Associate
Knack Global
04.2025 - 08.2025
Inventory And Sales Manager
E.G. Pharmaceutical
01.2024 - 03.2025
MS/M.Sc(Science) -
Chaudhary Charan Singh Haryana Agricultural University
B.Sc -
Kurukshetra University