Summary
Overview
Work History
Education
Skills
Additional Information
Interests
Timeline
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Prateek Karn

Prateek Karn

AR Medical Billing
Asansol

Summary

Responsible Collections Specialist looking for position with increased responsibility. Proficient in team handling, compliance requirements and payment schedules. Accurate in processing payments and efficient in completing daily tasks in fast-paced environments.

Overview

6
6
years of professional experience
6
6
years of post-secondary education
3
3
Languages

Work History

AR Subject Matter Expert

Coronis IT Systems
Mohali
03.2020 - Current
  • Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
  • Reviewed accounts on monthly basis to assess aging and pursue collection of funds.
  • Submitted electronic and paper claims to insurance companies, Medicare and Medicaid to collect medical payments.
  • Verified proper ICD-10 coding on claims.
  • Posted charges, payments and write-ups for Pathology procedures.
  • Analyzed medical records to satisfy insurance company mandates.
  • Researched and followed up on denied insurance claims.
  • Filed and updated patient information and medical records.
  • Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
  • Proficient in utilizing various software applications, including NextGen, Claim Remedi, Waystar, Availity, One Source, and Noridian & etc.
  • Contacted internal and external customers to obtain documentation to support invoices and claims.
  • Prepared spreadsheets using formulas, V-lookup and other intermediate and advanced Microsoft Excel skills.
  • Posted cash receipts to customer accounts to maintain current and accurate account balances.
  • Analyzed aging reports to identify trends and patterns causing missed collections.
  • Developed professional relationships with internal and external clients to encourage open communication and feedback.
  • Streamlined daily reporting information entry for efficient record keeping purposes.

AR Analyst

Access Health Care
Pune
06.2017 - 01.2020
  • Supported accounts receivable operations within assigned functions.
  • Identified, analyzed and researched systemic issues and made recommendations for resolution.
  • Resolved billing inquiries and disputes in timely fashion.
  • 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 to address payment status.
  • Proficient in utilizing various software applications, including Athena Health, Change HealthCare, Availity, One Source, and Noridian.

Education

Bachelor - Business Administration

Banwarilal Bhalotia College of Burdwan University
BENGAL, WEST
01.2013 - 04.2016

Higher Secondary - Science

Doon Public School of board Central Board Of Secondary Education
01.2012 - 04.2013

AISSE - undefined

Kendriya Vidyalaya Asansol
Bengal, West
01.2009 - 04.2010

Skills

    Staff Management

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Additional Information

  • Total Experience: Over 5+ years in Medical Billing
  • Proficient in dealing with Medicare and Medicaid-related denials, and skilled in utilizing ICD and CPT codes for accurate claim resolution.
  • Experienced in RCM processes for Physician Billing, Hospital Billing, and Laboratory Billing
  • Skilled in Team Handling and Report Analysis
  • Eager and Quick Learner

Interests

Adventures

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 College of Burdwan University
01.2013 - 04.2016

Higher Secondary - Science

Doon Public School of board Central Board Of Secondary Education
01.2012 - 04.2013

AISSE - undefined

Kendriya Vidyalaya Asansol
01.2009 - 04.2010

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Prateek KarnAR Medical Billing