SAMRAT SINGH HADA
Village and Post Ramgarh, Teh - Kishanganj, Baran
Summary
Dedicated and result-oriented Accounts Receivable (AR) Executive with over 3+ years of experience in insurance claim processing, TPA coordination, and claim settlement. Proven expertise in handling cashless and reimbursement claims, resolving long-pending insurance cases, and maximizing hospital revenue through persistent follow-up with insurance companies and TPAs. Strong knowledge of healthcare billing, HMIS, insurance portals, and claims reconciliation.
Overview
3
3
years of professional experience
Work History
Accounts Receivable Executive
Care CHL Hospital
Indore
07.2025 - Current
- Managed comprehensive accounts receivable operations for insurance and third-party administrator claims.
- Coordinated with billing, pharmacy, doctors, and insurance coordinators for seamless process execution.
- Reviewed deduction reasons and prepared appeals to ensure claim reconsideration.
- Processed final settlement and reconciliation of insurance claims efficiently.
- Communicated with TPAs and insurance companies to expedite claim closure.
- Tracked claim aging and maintained accurate accounts receivable reports.
- Prepared claim documentation for timely submission and ensured maximum revenue recovery.
- Compiled MIS reports detailing outstanding receivables.
TPA Front Office Assistant
Vishesh Jupiter Hospital
Indore
03.2023 - 07.2025
- Handling pre-authorizations and discharge approvals.
- Responding to insurance and TPA queries.
- Coordinating with patients and insurance companies.
- Processing cashless approvals.
- Processing final discharge settlements.
- Maintaining documentation and claim records.
Education
Bachelor of Science -
University of Kota
Baran01-2023
Senior Secondary (Biology) -
RBSE
Baran01-2013
Secondary -
RBSE
Ramgarh01-2011
Skills
- Claims processing
- TPA Portals
- Insurance reconciliation
- Billing coordination
- Claims appeals management
- Deduction analysis
- Accounts tracking
- Oracle financials
- MS Excel
- Multitasking capacity
- Time management
- Problem solving
Accomplishments
- Outstanding Performance For Target Achieved 110% in FY 2025-2026
- Jupiter Shining Star Certificate – February 2024
- Jupiter Shining Star Certificate – June 2024
- Jupiter Shining Star Certificate – April 2025
Key Achievements
- Successfully recovered approximately ₹50 Lakhs by resolving pending and short-settled insurance claims.
- Successfully settled numerous insurance claims that had been pending for 60 to over 700 days.
- Recovered multiple claims that were cancelled, closed, or under prolonged processing through continuous follow-up and effective coordination with TPAs and insurance companies.
Timeline
Accounts Receivable Executive
Care CHL Hospital
07.2025 - Current
TPA Front Office Assistant
Vishesh Jupiter Hospital
03.2023 - 07.2025
Bachelor of Science -
University of Kota
Senior Secondary (Biology) -
RBSE
Secondary -
RBSE