LOKESH BARGUJAR
Medical Billing
Ahmedabad
Summary
Strong leader and problem-solver dedicated to streamlining operations to decrease costs and promote organizational efficiency. Uses independent decision-making skills and sound judgment to positively impact organization success.
Overview
7
7
years of professional experience
6
6
years of post-secondary education
2
2
Languages
Work History
Operations Manager- AR
SAS MD Billing Solutions LLP
Ahmedabad
2022.02 - Current
- Cultivated interpersonal skills by building positive relationships with others.
- Managed time efficiently in order to complete all tasks within deadlines.
- Used strong analytical and problem-solving skills to develop effective solutions for challenging situations.
- Handled client communications and client queries.
- Handled queries of team regarding billing, denials, rejections, appeals.
- Reviewed billing problems, researched issues, and resolved concerns.
- Managed monthly billing process to complete billings and returns to meet company revenue recognition policies.
- Trained and mentored staff on procedures, compliance requirements.
- Performed testing for billing modules, enhancing new functionality and process improvements.
Team Leader
Vahin Infotech Pvt. Ltd
Ahmedabad
2021.07 - 2022.01
- Participated in training opportunities to remain current on billing procedures, regulations and industry updates.
- Followed up on claims.
- Oversaw billing for Medicaid, Medicare, commercial insurance claims.
- Handling queries of team.
- Handling client queries and client communication.
- Worked on Internal Medicine and Pain Management projects.
Team Coach
Aqkode Healthcare Solutions Pvt Ltd
Ahmedabad
2019.02 - 2021.07
- Handling queries of team.
- Handling client queries and client communication.
- Followed up on claims.
- Managed Denials and Rejections
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Worked on Pain Management, Internal Medicine, Pediatrics, Ophthalmology, Orthopedics, Cardiology projects.
AR Executive
Fedora Solutions
Ahmedabad
2018.04 - 2018.11
- Reconciled daily AR ledger and verified proper posting.
- Verified discrepancies and resolved clients' billing issues.
- Liaised between patients, insurance companies, and billing office.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Verified insurance of patients to determine eligibility.
- Worked on Pain Management Project.
Biology Teacher
Replica Institute
New Delhi
2017.03 - 2018.03
- Prepared individualized lesson plans and educational materials to structure biology curriculum to needs of each student.
- Established positive and encouraging relationship with students and helped to foster appreciation for biology and science.
- Assessed student comprehension through regular quizzes, tests, and assignments.
Education
B.Tech.-M.Tech - Biotechnology
University of Rajasthan
Jaipur 2009.07 - 2015.07
Skills
Project Management
Process improvements
Training and mentoring
Process implementation
Timeline
Operations Manager- AR
SAS MD Billing Solutions LLP
2022.02 - Current
Team Leader
Vahin Infotech Pvt. Ltd
2021.07 - 2022.01
Team Coach
Aqkode Healthcare Solutions Pvt Ltd
2019.02 - 2021.07
AR Executive
Fedora Solutions
2018.04 - 2018.11
Biology Teacher
Replica Institute
2017.03 - 2018.03
B.Tech.-M.Tech - Biotechnology
University of Rajasthan
2009.07 - 2015.07