Summary
Overview
Work History
Education
Skills
Interests
Timeline
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Viral Prashant Patil

Viral Prashant Patil

AR Executive

Summary

Professional Summary

  • CMC Certified Coder with 2 years of experience in medical billing, denial management, claim follow-up, and eligibility verification.
  • Skilled in Epic, AdvancedMD, Salesforce, and streamlining billing workflows and reducing claim denials.
  • Proven record of improving revenue cycle efficiency and maintaining compliance with insurance guidelines.
  • Strong communicator with experience in handling payer interactions, appeals, and patient inquiries.
  • Experienced in analyzing claim denials and implementing process improvements to reduce recurring issues.
  • Adept at working in fast-paced, deadline-driven environments, ensuring high accuracy and productivity in billing operations.
  • Seeking to contribute expertise in Revenue Cycle Management (RCM) to healthcare organizations in Malaysia.

Overview

2
2
years of professional experience
3
3
Languages

Work History

Senior Executive Operations

Credence Resource Management
05.2024 - Current


  • Verified patient insurance coverage and eligibility with providers, ensuring 100% accuracy in patient demographic updates.
  • Reduced claim rejections by 12% through proactive Eligibility Verification and coverage validation.
  • Maintained up-to-date knowledge of insurance regulations, ensuring zero compliance issues during audits.
  • Leveraged experience from previous AR/billing roles to handle end-to-end claim cycle, including account follow-ups, discrepancy resolution, and updating insurer information.
  • Improved claim settlement rate by 15% by implementing best practices learned from prior roles in AR and insurance operations.

Senior Client Partner

Access Healthcare
10.2023 - 05.2024
  • Processed 45+ claims daily with 95% accuracy, consistently meeting client SLAs.
  • Improved denial resolution rate by 15% through root cause analysis and timely resubmissions.
  • Handled patient billing inquiries, achieving 90% first-call resolution.
  • Streamlined charge entry and payment posting, reducing processing time by 10%.
  • Acted as a bridge between healthcare providers and insurers, enhancing communication efficiency.
  • Drew on prior AR and insurance operations experience to reduce outstanding receivables by 20% and minimize documentation errors.
  • Enhanced payer communication protocols by integrating lessons from earlier roles, reducing delays in claim approvals.

Education

Bachelor of Science - Biotechnology

Shivaji University
04.2001 -

HSC - undefined

Sanskar Dham College Of Science And Commerce
01.2018

SSC -

Utkarsh Vidya Mandir
01.2016

Skills

  • Revenue Cycle Management (RCM) – End-to-end billing, claim submission, and collections
  • Denial Management – Root cause analysis, resubmissions, appeals
  • Eligibility & Pre-Authorization – Insurance eligibility verification, pre-certification checks
  • Payment Posting & Charge Entry – Accurate claim data entry, payment reconciliation
  • Insurance Communication – Liaison with payers, patients, and providers for claim resolution
  • Compliance & Accuracy – Knowledge of insurance guidelines, HIPAA, and medical coding standards
  • Billing Software Expertise – Epic, AdvancedMD, Salesforce

Interests

Cooking, singing

Timeline

Senior Executive Operations

Credence Resource Management
05.2024 - Current

Senior Client Partner

Access Healthcare
10.2023 - 05.2024

Bachelor of Science - Biotechnology

Shivaji University
04.2001 -

HSC - undefined

Sanskar Dham College Of Science And Commerce

SSC -

Utkarsh Vidya Mandir
Viral Prashant PatilAR Executive