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