bhaghya User
@bhaghyauser
I am a detail-oriented medical biller specializing in claims and coding.
What I'm looking for
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
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.
Group Co-ordinator
Medrona Billing Service Pvt. Ltd
Nov 2015 - Dec 2021 (6 years 1 month)
Coordinated billing teams to verify insurance benefits, prepare accurately coded ICD-10/CPT/HCPCS claims, and follow up on unpaid or denied claims to improve collections.
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
Availability
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