Rituraj Parasar
New Delhi
Summary
With total experience of 7 years in US Healthcare industry, I am an accomplished Subject Matter Expert in my current role, demonstrating strategic thinking and strong analytical skills by streamlining denial management processes, achieving over 95% quality. Mentored teams, fostering teamwork and collaboration, and enhanced efficiency.
As a Medical Biller, I aim to generate maximum revenue and resolve high aging accounts at 90-120 AR days, coordinates with insurance companies and expedites claim processes with constant focus on quality and production. Proficient in MS Excel and Microsoft Office with a track record of prioritizing continuous improvement and professional development.
Overview
9
9
years of professional experience
Work History
Subject Matter Expert
Primera Medical Technologies
Hyderabad
12.2021 - Current
- Currently working on Denial Management and AR follow-ups with 90-95% accuracy and maintaining above 95% quality.
- Worked on coding-related denials and rejections, calling insurance and billing the claim with coding corrections.
- Well versed with UB04 forms and billing facility claims to insurance through Meditech, Relay, and Epic.
- Working on EDI and Clearing House rejections.
- Streamlined processes to increase efficiency, enabling teams to complete tasks ahead of schedule.
- Handling and mentoring junior team members of 4-5 Associates, contributing to their professional growth and development.
- Established best practices for knowledge sharing, fostering a culture of continuous learning and improvement.
- Collaborated with management to identify and prioritize new development concepts.
Account Executive and Biller
Pacific Cancer Medical Center
New Delhi
09.2018 - 07.2021
- Worked on checking eligibility verification and benefits, and calling insurance companies.
- Managed Patient Billing and Patient Payments Log.
- Posted EFT Payments through EDI to software and reviewed manual eobs.
- Managed Claim status Report and conducted AR follow ups
- Proficient in handling CMS 1500 and Professional Billing
- Managed multiple accounts simultaneously while maintaining organization and prioritizing tasks efficiently.
- Trained new team members on eligibility verification and benefits, fostering a collaborative work environment focused on continuous improvement.
Account Receivable
OPK Infotech
New Delhi
05.2015 - 06.2016
- Managed and analyzed claim status reports to optimize processes.
- Obtained claim status information by initiating calls to insurance providers and accurately recorded updates within the software
- Payment Posting and Reviewing Manual, EOBS.
Education
Master of Arts - South Asian History
B.R Ambedkar University
New Delhi05-2013
Bachelor of Arts - History Honors
Delhi University
New Delhi05-2011
Senior Secondary - Arts
D.A.V Public School, Hehal
Ranchi04-2008
Secondary School -
Army School
Ranchi04-2006
Skills
- Well versed with MS Excel and Microsoft Office
- Excellent Communication
- Strategic Thinking
- Strong Analytical skills
- Problem-solving abilities
- Training and Mentoring
- Teamwork and Collaboration
Languages
Hindi
First Language
English
Proficient (C2)
C2
Timeline
Subject Matter Expert
Primera Medical Technologies
12.2021 - Current
Account Executive and Biller
Pacific Cancer Medical Center
09.2018 - 07.2021
Account Receivable
OPK Infotech
05.2015 - 06.2016
Master of Arts - South Asian History
B.R Ambedkar University
Bachelor of Arts - History Honors
Delhi University
Senior Secondary - Arts
D.A.V Public School, Hehal
Secondary School -
Army School
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