Overview
Work History
Education
Skills
Software
Timeline
Generic
Karna Patel

Karna Patel

Dedicated and results-driven professional with 5 years experience as Senior AR analyst to Team Leader in medical billing, payment posting, Front desk help for providers and full Spectrum of revenue cycle management (RCM). Proven expertise in streamlining workflows, enhancing team productivity and ensure compliance with healthcare regulations. Skilled in managing eligibility verification's, claims processing and denial management to optimize revenue recovery. Committed to delivering excellence in operational efficiency and team leadership.
Ahmedabad

Overview

6
6
years of professional experience

Work History

AR Analyst

AMMED Solutions PVT.LTD
Ahmedabad
08.2019 - 05.2020
  • Participated in regular AR training sessions, staying up-to-date on industry best practices and emerging trends.
  • Assisted with medical billing and coding, including entering patient information into the billing system
  • Prepared and filed medical paperwork, including insurance forms and medical claims
  • Follow up by Approx more than 30 claims by cold calling insurance and checking claims status through different portals.
  • Answering patient calls - resolving queries and also making collection calls for payment.

Senior AR Analyst

AMMED Solutions PVT.LTD
06.2020 - 01.2021
  • Developed customized reports for management to track key performance indicators in accounts receivable operations.
  • Prepared detailed aging reports for management review on a regular basis, highlighting potential risks in the AR portfolio.
  • Streamlined the month-end closing process, ensuring timeliness and accuracy of financial statements.
  • Claims management - claims life cycle, including submission, Follow-ups and resolutions of denied or delayed claims, ensure timely reimbursement and revenue optimization.
  • Denial analysis - Comprehensive root cause analysis of denied claims, identify trends and implement correct measures to minimize rejections and improve first pass solutions.
  • Eligibility and benefits verification - Ensure patient eligibility and benefits verification to prevent claim rejections and enhance billing accuracy.
  • Account reconciliation - Perform detailed account reconciliation and payment posting to maintain accuracy in AR records and align with financial goals.
  • Work closely with billing, coding, and payer teams to streamline workflows and resolve complex claim issues, ensuring seamless revenue cycle operations.

Team Lead

AMMED Solutions PVT.LTD
02.2021 - 10.2021
  • Promoted a positive work environment by fostering teamwork, open communication, and employee recognition initiatives.
  • Established clear performance metrics for the team which helped in tracking progress towards set targets effectively.
  • Trained new team members by relaying information on company procedures and safety requirements. Provide guidance and training to junior AR analysts, fostering a collaborative and supportive environment to enhance team productivity and expertise.
  • Partner with team members to identify operational bottlenecks and implement solutions, improving efficiency and reducing turnaround times for claims processing.
  • Collaborate with leadership and peers to establish and achieve departmental goals, ensuring alignment with organizational revenue objectives.
  • Facilitate regular team meetings to discuss challenges, share updates, and align strategies for addressing payer trends and denials.

Team Leader

Legion Healthcare Solutions
11.2021 - 04.2022


  • Managed end-to-end revenue cycle processes for Pain Management & DME (Durable Medical Equipment) practices.
  • Expertise in claims processing, denials management, AR follow-up, and compliance to maximize revenue and reduce outstanding balances.
  • Led a team of RCM specialists, overseeing daily operations in billing, coding, and collections for Pain Management & DME providers.
  • Managed the end-to-end RCM process, including insurance verification, charge entry, payment posting, AR follow-up, and denial management.

Team Leader Manager

Sidwin Healthcare Solutions
07.2022 - 08.2023
  • Leadership and Supervision: Manage and mentor a team of medical billing professionals, providing guidance on payment posting, claims follow-ups, and denial management to ensure operational excellence.
  • Efficiently manage incoming patient calls, address inquiries, and schedule appointments to ensure smooth clinic operations and optimal patient satisfaction.
  • Coordinate appointment bookings and follow-ups, optimizing providers’ schedules while accommodating patients’ needs.
  • Process patient requests for medication refills in collaboration with providers, ensuring timely and accurate responses to prescription needs.
  • Handle patient medical records requests, including retrieval, verification, and secure transmission, maintaining compliance with HIPAA regulations.
  • Administrative Support: Provide comprehensive front desk support by managing check-ins, updating patient information, and assisting with insurance verification for seamless care delivery.

Assistant Manager of Operations

Kamfee Billing Solutions LLP
08.2023 - 02.2025
  • Coordinated with General Manager in different operational issues and promotional activities.
  • Assisted in hiring, training, and mentoring staff on RCM best practices and payer regulations.
  • Oversaw the end-to-end RCM process, from insurance verification to final payment posting.
  • Led a team in analyzing and resolving denied and underpaid claims, reducing denials
  • Generated weekly and monthly reports on claim status, AR aging, and revenue performance, presenting insights to senior management for decision-making.

Education

S.S.C -

Divine Buds English School
Ahmedabad, India
04.2001 -

H.S.C - Science

Kumkum English Medium School
Ahmedabad, India
04.2001 -

Bachelor's Degree - Automobile

Narnarayan Shashtri Institute of Technology
Ahmedabad, India
04.2001 -

Skills

Project management

Operational efficiency

Operational planning

Staff training and development

Problem-solving

Teamwork and collaboration

Multitasking

Customer service management

Excellent communication

Software

OmniMD

IMS (intelligent medical software)

Officeally

MDland

ECW (E-clinical Works)

Cardinal Health

Digital RX

Cerner

Nextgen

Timeline

Assistant Manager of Operations

Kamfee Billing Solutions LLP
08.2023 - 02.2025

Team Leader Manager

Sidwin Healthcare Solutions
07.2022 - 08.2023

Team Leader

Legion Healthcare Solutions
11.2021 - 04.2022

Team Lead

AMMED Solutions PVT.LTD
02.2021 - 10.2021

Senior AR Analyst

AMMED Solutions PVT.LTD
06.2020 - 01.2021

AR Analyst

AMMED Solutions PVT.LTD
08.2019 - 05.2020

S.S.C -

Divine Buds English School
04.2001 -

H.S.C - Science

Kumkum English Medium School
04.2001 -

Bachelor's Degree - Automobile

Narnarayan Shashtri Institute of Technology
04.2001 -

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Karna PatelDedicated and results-driven professional with 5 years experience as Senior AR analyst to Team Leader in medical billing, payment posting, Front desk help for providers and full Spectrum of revenue cycle management (RCM). Proven expertise in streamlining workflows, enhancing team productivity and ensure compliance with healthcare regulations. Skilled in managing eligibility verification's, claims processing and denial management to optimize revenue recovery. Committed to delivering excellence in operational efficiency and team leadership.