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bhaghya User

@bhaghyauser

I am a detail-oriented medical biller specializing in claims and coding.

India
Message

What I'm looking for

I seek a medical billing or revenue-cycle role where I can manage claims end-to-end, reduce denials, work with payers and EHR systems, protect HIPAA, and drive process improvements in a collaborative team.

I am a detail-oriented medical billing professional with over a decade of experience in US healthcare billing, insurance verification, and claims processing.

I have served in senior roles at remote and on-site billing organizations, leading claims submission via EDI to major carriers and using ICD-10, CPT and HCPCS for accurate coding. I routinely resolve denials, initiate appeals, and post payments to accelerate reimbursements.

I generate weekly and monthly billing reports to monitor claim status, payment timelines, and denial rates while maintaining strict HIPAA compliance to safeguard patient data.

I am proficient with EHR and practice management systems and eligibility portals like Availity, Gammis, Trizetto, and Healthfusion, and with billing platforms such as Advanced MD, Experity, Collabrate MD, Nextgen, eCW and DrChrono. I seek opportunities to reduce denials, streamline revenue-cycle processes and mentor teams.

Experience

Work history, roles, and key accomplishments

HL

Senior Operaion Analyst

Health Recon Connect LLC

Apr 2024 - Dec 2024 (8 months)

Performed end-to-end medical billing operations remotely, processing claims via EDI, verifying eligibility, and resolving denials to ensure timely reimbursement and HIPAA compliance.

CL

Senior Billing Specialist

Cascade Revenue Management Pvt Ltd

Jul 2022 - Mar 2024 (1 year 8 months)

Managed medical billing workflows for multiple payers, processed and posted payments, and led appeals for denied claims to reduce outstanding receivables.

BL

AR Associate

Billedright Healthcare Solution Pvt Ltd

Aug 2010 - May 2015 (4 years 9 months)

Executed accounts receivable and billing activities including claim submission, payer communication, and weekly billing reporting while maintaining patient confidentiality under HIPAA.

Education

Degrees, certifications, and relevant coursework

bhaghya hasn't added their education

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Tech stack

Software and tools used professionally

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bhaghya User - Senior Operaion Analyst - Health Recon Connect LLC | Himalayas