Summary
Overview
Work History
Education
Skills
Listening Music
Timeline
Generic

Harsh Tomar

Ghaziabad

Summary

Experienced and detail-oriented Medical Billing Specialist with a strong background in claim follow-up, denial management, and dental eligibility and benefits verification.

Known for resolving complex billing issues efficiently, often securing payments within three touches. Skilled in analyzing claim denials to determine root causes, ensuring prompt and accurate reimbursements on behalf of providers. Proficient in verifying patient insurance, completing eligibility forms, and performing data entry in client systems to ensure smooth front-office operations. Committed to maximizing revenue cycles and delivering seamless support to healthcare providers.

Overview

3
3
years of professional experience

Work History

Eligibility and Verification

Savista Global
04.2024 - Current
  • Verified dental insurance eligibility and benefits on behalf of providers to ensure coverage before treatment.
  • Confirmed plan details including deductibles, co-pays, and covered services to prevent claim denials.
  • Supported providers by validating patient coverage directly with insurance companies.

Senior Account Receivable

CGM Aria
05.2023 - 04.2024
  • Follow-up on Denial Reasons: Conducted follow-up calls with insurance companies and patients to investigate and clarify denial reasons, ensuring timely resolution and reprocessing of claims.
  • Resolving Payment Queries: Efficiently resolve payment-related inquiries, improving claim acceptance and reimbursement turnaround.
  • Daily Performance Reporting: Consistently reported individual performance contributing to team-level transparency and productivity tracking.

Account Receivable

Technocraze Computing Solution PVT LTD
01.2022 - 05.2023
  • Managed account receivables, ensuring timely collection of payments and maintaining accurate financial records.
  • Collaborated with cross-functional teams to resolve discrepancies and streamline billing processes.

Education

Bachelor of Commerce -

Delhi University
New Delhi
05-2021

Commerce

Intermediate School - Dron Public School
Meerut
04-2018

High School Diploma -

Dron Public School
Meerut
04-2015

Skills

  • Leadership and Teamwork
  • Time management
  • Technical Skill
  • Problem Solving
  • Customer Relations
  • Data entry
  • Active listening
  • Planning

Listening Music

Passionate about music creation and listening; skilled in composing, editing, and exploring diverse genres.

Timeline

Eligibility and Verification

Savista Global
04.2024 - Current

Senior Account Receivable

CGM Aria
05.2023 - 04.2024

Account Receivable

Technocraze Computing Solution PVT LTD
01.2022 - 05.2023

Bachelor of Commerce -

Delhi University

Commerce

Intermediate School - Dron Public School

High School Diploma -

Dron Public School

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Harsh Tomar