Kamesh Panchal
Medical Billing
Mumbai
Summary
Experienced with medical billing processes, including coding and claims management. Utilizes billing software to ensure accurate and timely submission of claims. Knowledge of healthcare regulations and insurance policies, ensuring compliance and minimizing denials.
Overview
5
5
years of professional experience
Work History
Medical Billing Specialist
IKS Health
05.2025 - 08.2025
- Developed customized reports for management review, highlighting trends in key performance metrics such as claim denial rates and days outstanding for accounts receivable balances.
- Conducted regular audits of patient accounts for potential underpayments or overpayments due to incorrect coding or billing practices.
- Evaluated patients' financial status and established appropriate payment plans.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Enhanced revenue collection through diligent follow-up on unpaid claims and denials with insurance companies.
- Identified and resolved patient billing and payment issues.
Medical Billing Specialist
Gebbs Health Care Solutions
05.2023 - 02.2025
- Provided exceptional customer service to both patients and insurance representatives, resolving inquiries quickly and professionally.
- Located errors and promptly refiled rejected claims.
- Filed and updated patient information and medical records.
- Posted and adjusted payments from insurance companies.
- Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
- Efficiently processed refunds or adjustments for patients when necessary, ensuring accuracy and compliance with company policies.
Customer Service Representative
Jio Mart
11.2020 - 04.2022
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Enhanced customer satisfaction by promptly addressing concerns and providing accurate information.
- Responded to customer requests for products, services, and company information.
- Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
- Maintained detailed records of customer interactions, ensuring proper follow-up and resolution of issues.
- Developed strong product knowledge to provide informed recommendations based on individual customer needs.
Education
Bachelor of Science - IT
Mumbai University
Mumbai 04.2022
Skills
CPT knowledge
ICD-10 proficiency
Denial management
Medical coding expertise
Claim submission
Patient billing
Timeline
Medical Billing Specialist
IKS Health
05.2025 - 08.2025
Medical Billing Specialist
Gebbs Health Care Solutions
05.2023 - 02.2025
Customer Service Representative
Jio Mart
11.2020 - 04.2022
Bachelor of Science - IT
Mumbai University