Siddhant Gavimath
Bangalore
Summary
Dynamic Senior Medical Billing and Accounts Receivable Specialist with over all 4 years of experience at claims processing and billing dispute resolution denial claims. Proven ability to manage large volumes of accounts while enhancing cash flow and reducing aged accounts. Committed to delivering exceptional service and fostering strong payer relationships.
Overview
5
5
years of professional experience
Work History
Senior AR Caller
R1RCM Pvt.Ltd
Bangalore
01.2025 - 12.2025
- Executed follow-up calls on pending accounts to facilitate timely payments and resolve outstanding issues.
- Reviewed patient accounts for discrepancies, ensuring accuracy in billing and prompt resolution of payment delays.
- Processed and documented incoming payments, maintaining compliance with financial regulations and billing standards.
- Monitored accounts receivable aging reports to identify trends and initiate collections on overdue accounts.
- Collaborated with other departments when necessary to resolve issues related to delinquent accounts.
- Responded to patient inquiries regarding their accounts, providing clear explanations and guidance on payment options.
- Conducted audits on billing and claims processes to assess compliance and identify areas for improvement.
- Maintained thorough documentation of all communications with payers, ensuring transparency and accountability.
Senior AR
Thar Worx / Optimize RCM
Bangalore
06.2023 - 01.2025
- Insurance Rejection Handling: Skilled in addressing and overturning insurance rejections through thorough review and effective communication with payers.
- Radiology Billing Specialist: Experienced in processing and managing billing and claims specific to radiology services, ensuring compliance with coding and documentation requirements.
- Investigate reasons for non-payment or delays, such as coding issues, policy discrepancies, or lack of information.
- Analyze and resolve claim denials, including reviewing EOBs (Explanation of Benefits), initiating appeals, and ensuring timely resubmission of claims when necessary.
- Ensure accurate patient billing, including verifying insurance coverage, applying payments, and resolving any discrepancies in patient accounts.
- A detail-oriented and experienced Senior Medical Billing and Accounts Receivable (AR) Specialist with over 1.7 years of expertise in managing complex billing systems, claim submissions, and insurance reimbursements within the healthcare industry. Skilled in claims processing, denial management, and AR optimization. Proven track record of reducing aged accounts, improving cash flow, and streamlining the billing process to ensure accurate, timely payments from insurance companies and patients.
AR Caller
Omega Healthcare Management
Bangalore
05.2022 - 06.2023
- Investigate reasons for non-payment or delays, such as coding issues, policy discrepancies, or lack of information.
- Analyze and resolve claim denials, including reviewing EOBs (Explanation of Benefits), initiating appeals, and ensuring timely resubmission of claims when necessary.
- Follow up on unpaid, denied, or partially paid claims by working with insurance carriers, resolving issues to ensure prompt payment.
- Managed refunds and adjustments, ensuring proper documentation and compliance with billing standards.
- Reduced the overall AR aging claim through effective strategies and patient outreach.
- A detail-oriented and experienced Senior Medical Billing and Accounts Receivable (AR) Specialist with over 1 year of expertise in managing complex billing systems, claim submissions, and insurance reimbursements within the healthcare industry. Skilled in claims processing, denial management, and AR optimization. Proven track record of reducing aged accounts, improving cash flow, and streamlining the billing process to ensure accurate, timely payments from insurance companies and patients.
Automobile Sales and Marketing
Maruti Suzuki PVT LTD
08.2020 - 01.2022
- Analyze market trends, customer preferences, and competitor activities to identify new sales opportunities and adjust strategies accordingly.
- Build and maintain strong relationships with current and prospective customers, understanding their needs and providing tailored solutions.
- Provide exceptional customer service throughout the buying process, ensuring customer satisfaction and encouraging repeat business and referrals.
- Generate leads through various channels, including digital marketing, direct outreach, networking, and partnerships.
- Conduct product demonstrations and walk-throughs for potential customers, addressing questions and objections.
- At Maruti Suzuki Pvt Ltd, I excelled in Automobile Sales and Marketing by driving customer engagement and sales growth through targeted strategies. I developed and executed marketing campaigns that increased brand visibility and attracted new clients. My role involved managing customer relationships, providing detailed product and facilitating smooth sales transactions. I analyzed market trends to identify opportunities and adjust sales tactics accordingly.
Education
Some College (No Degree) - SSLC
Gomatesh High School
BelgaumHigh School Diploma -
Jain Polytechnic
BelgaukmSkills
- Ability to explain billing issues
- Claims processing
- Software navigation
- Payment posting
- Ability to manage large volumes of accounts
- Familiarity with medical or commercial billing software
- Billing dispute resolution
- Ability to manage multiple collections tasks efficiently
- Also updating myself with Phyton, Machine learning, AI and Advanced AI
Languages
- English
- Hindi
- Marathi
- Kannada
Personal Information
Date of Birth: 09/15/97
Hobbies and Interests
- Photography
- Painting
- Travelling
- Music
Disclaimer
I do hereby declare that the information furnished above is correct to the best of my knowledge.
Business Technical Skills
- Imagine Software
- Aetna Software
- MMIS Software
- Citrix
Rewards Recognitions
- Got Promoted as senior analyst within a year
- Rewarded as zero defective award in CBA
- Got promoted as Quality Analyst in short span of time in Deutsche Bank
- Got Star performer award
- Received 'Abhimanyu Award' for quality of work
- Appreciation from the clients and management for good work
- Dedicated and Efficient employee
- Received cRDS GEMS Award
Timeline
Senior AR Caller
R1RCM Pvt.Ltd
01.2025 - 12.2025
Senior AR
Thar Worx / Optimize RCM
06.2023 - 01.2025
AR Caller
Omega Healthcare Management
05.2022 - 06.2023
Automobile Sales and Marketing
Maruti Suzuki PVT LTD
08.2020 - 01.2022
Some College (No Degree) - SSLC
Gomatesh High School
High School Diploma -
Jain Polytechnic