Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Pratik Arora

Medical Billing Specialist-Subject Matter Expert
Kolkata

Summary

Proven achiever in medical billing with 7 years of experience, streamlined operations and team handling at Cognizant Technologies Solutions, enhancing compliance and efficiency. Expert in HIPAA and certified in AHIP, leadership in cross-functional collaboration and problem-solving significantly improved billing accuracy and team performance. My approach combines technical prowess with a continuous learning mindset, driving revenue cycle management to new heights.

Overview

8
8
years of professional experience
6
6
years of post-secondary education
1
1
Certification

Work History

Senior Medical Billing Specialist

Cognizant Technologies Solutions
12.2016 - Current
  • Maintained compliance with industry regulations by staying current on changes in coding and billing practices.
  • Collaborated with cross-functional teams, optimizing the overall medical billing process.
  • Implemented effective training programs for new hires to ensure consistent quality and performance standards.
  • Reviewed and processed medical bills for payment, ensuring accuracy and completeness.
  • Verified patient information, insurance details, and treatment codes to facilitate correct billing.
  • Ensured compliance with medical billing regulations and guidelines to avoid discrepancies.
  • Handled patient and provider inquiries, resolving billing issues efficiently.
  • Maintained comprehensive billing records and documentation for audit purposes.

Education

Bachelor of Engineering - Information Technology

SDBC – Sushila Devi Bansal College
Indore, India
05.2009 - 04.2013

Higher Secondary Examination - Science

Subash Public School
Giridih, India
04.2007 - 03.2009

Skills

Certified AHIP (America's Health Care Insurance Plans)

HIPAA compliance awareness

Medical Billing Software (Connect)

Problem-Solving and Decision-Making

Claims Processing Proficiency

Revenue Cycle Management

Continuous learning mindset

Team Collaboration Aptitude

Data Entry

Claim submission

Medicaid and Medicare Knowledge

Patient Billing

Certification

AHIP-Professional, Academy for Healthcare Management (PAHM)

Timeline

AHIP-Professional, Academy for Healthcare Management (PAHM)

04-2024

Senior Medical Billing Specialist

Cognizant Technologies Solutions
12.2016 - Current

Bachelor of Engineering - Information Technology

SDBC – Sushila Devi Bansal College
05.2009 - 04.2013

Higher Secondary Examination - Science

Subash Public School
04.2007 - 03.2009

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Pratik AroraMedical Billing Specialist-Subject Matter Expert