Summary
Overview
Work History
Education
Skills
Additionalinformation
Languages
Timeline
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Prateek Karn

Prateek Karn

Asansol

Summary

Dedicated and proficient Collections Specialist seeking a position with increased responsibility. Skilled in team handling, compliance, processing payments, maintaining payment schedules, and efficiently completing daily tasks within fast-paced environments.

Overview

8
8
years of professional experience

Work History

AR Subject Matter Expert

Coronis IT Systems
Mohali
03.2020 - Current
  • Managed team performance by creating performance reports and conducting regular reviews
  • Generated client reports, aging reports, and production reports to provide insights and track progress
  • Allocated tasks and resources efficiently to maximize productivity
  • Analyzed aging issues and implemented directives from the onshore team to reduce denial aging volumes
  • Ensured timely follow-up on aging denials to prevent timely filing limits (TFL) from lapsing
  • Collaborated with the onshore team to develop strategies for improving overall collection rates and reducing outstanding balances
  • Posted charges, payments, and write-ups for pathology procedures
  • Analyzed medical records to meet insurance company mandates
  • Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers
  • Prepared spreadsheets using lookup functions, pivot tables, charts, formulas, V-lookup, and other intermediate and advanced Microsoft Excel skills
  • Analyzed aging reports to identify trends and patterns causing missed collections
  • Proficient in utilizing various software applications including NextGen, Claim Remedi, Waystar, Availity, One Source, Noridian, and Inovlon

AR Analyst

Access Health Care
Pune
06.2017 - 01.2020
  • Supported accounts receivable operations within assigned functions
  • Resolved billing inquiries and disputes within a timely manner
  • Investigated insurance claims denials and appeals
  • Filed and maintained patient records in accordance with HIPAA regulations
  • Verified insurance eligibility and coverage for patients
  • Identified and contacted customers with overdue accounts
  • Proficient in utilizing various software applications, including Athena Health, Change HealthCare, Availity, One Source, and Noridian

Education

Bachelor - Business Administration

Banwarilal Bhalotia Collegeof Burdwan University
Asansol, WestBengal
07.2016

Higher Secondary - Science

Doon Public School
04.2013

AISSE -

Kendriya Vidyalaya Asansol
Asansol, West Bengal
04.2010

Skills

  • Medical billing
  • Staff management
  • RCM Processes
  • Software Proficiency
  • Excel skills
  • Innovative mindset
  • Training and mentoring
  • Relationship building
  • Report exceptions

Additionalinformation

Over 6.8 years of experience; proficient in Medicare and Medicaid-related denials, ICD and CPT coding., Skilled in evaluation and management services, as well as pathology CPT codes., Experienced in Home Health Hospice billing., Eager and quick to adapt to new tasks and environments.

Languages

Bengali
First Language
English
Advanced (C1)
C1
Hindi
Advanced (C1)
C1

Timeline

AR Subject Matter Expert

Coronis IT Systems
03.2020 - Current

AR Analyst

Access Health Care
06.2017 - 01.2020

Bachelor - Business Administration

Banwarilal Bhalotia Collegeof Burdwan University

Higher Secondary - Science

Doon Public School

AISSE -

Kendriya Vidyalaya Asansol

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Prateek Karn