Karan Patel
Sr RCM Executive
Vadodara
Summary
Dedicated and efficient professional with a strong commitment to excellence. Strive to contribute knowledge and skills to the betterment of the organization. Aim to work effectively and efficiently within the company. Leveraging expertise to make a valuable impact and drive success for the organization.
Overview
8
8
years of professional experience
4
4
years of post-secondary education
3
3
Languages
Work History
Sr, RCM Executive
Evolve Global Corp
08.2023 - 04.2025
- AR Calling - Analyzing the initial Claims & get the status from IVR & Insurance representative
- Patient & Hospital Calling for Demographic info.
- Floor Supporter - Providing basic process knowledge of RCM to new joiners & help them analyze EOB,ERSs as well as various payer's web portal navigation & software navigation
- Also assist with to follow SOP to new joiners
- Software Experience - Athenahealth
- Specialty - Air Ambulatory Service
RCM Associate
Insync Healthcare Solution by Qualifacts
02.2021 - 08.2023
- Payment Posting - Read & comprehend EOB (Explanation of Benefits) & post the payment accordingly as well as reconciles the incoming checks, credit card payments and EFTs with the statements from payers to safeguard the funds received
- Performs other related duties as assigned like special project of post recoupment & Patient payment receipts
- Creates reports regarding the current status of customer accounts as requested
- Floor Supporter - Providing assistance to new joiner for the analyze EOB,ERAz as well as various payer's web portal navigation & software navigation
- AR Assistance - check eligibility of patients on available various payer's portal, resolving COB issue while claim rebilling to secondary payer & payment posting correction, also pull EOB from available portal, Get Claim status on IVR
- Software Experience - InSync by Qualifacts
- Specialty - Behavioral Health
Sales Executive
Skious BPO Solutions Private Limited
02.2019 - 12.2020
- Sales - Lead generation - Role was based on setting up a strategy to persuade to join our subscription with new benefits & offers to sales leads and converting them into paid customers
Customer Care Executive
Karvy Data Management
08.2017 - 02.2018
- Handle customer complaints, provide appropriate solutions and alternatives within the time limits & follow up to ensure resolution in timely manner
Education
BE - Civil Engineering
Tatva Institute of Technological Studies
04.2013 - 06.2017
Skills
Strong written and verbal communication
Skilled in utilizing RCM software for efficiency
Basic IT literacy
Structured coordination
Project coordination
Effective team collaboration
Hobbies
Cricket
Volleyball
Netflix
Movies
Securities Exchange
Reading
Disclaimer
I hereby solemnly declare and affirm that all statement made in this application are true, complete and correct to best of my knowledge and belief.
Timeline
Sr, RCM Executive
Evolve Global Corp
08.2023 - 04.2025
RCM Associate
Insync Healthcare Solution by Qualifacts
02.2021 - 08.2023
Sales Executive
Skious BPO Solutions Private Limited
02.2019 - 12.2020
Customer Care Executive
Karvy Data Management
08.2017 - 02.2018
BE - Civil Engineering
Tatva Institute of Technological Studies
04.2013 - 06.2017