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Kajal Prasad

@kajalprasad

Senior AR Caller specializing in US medical billing and denial resolution.

India
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What I'm looking for

I’m looking for a role in US medical billing/RCM where I can reduce AR aging, manage denials and appeals, and deliver strong productivity and quality results—using EOB/ERA analysis and tools like NextGen/eCW.

I’m a results-driven Senior AR Caller with 2 years of hands-on experience in US Medical Billing, Accounts Receivable (AR), and Revenue Cycle Management (RCM). I focus on improving claim outcomes through accurate insurance follow-up, payer communication, and detailed account documentation.

I analyze EOB/ERA data to pinpoint denial reasons, payment variances, and underpayments, then drive resolution through eligibility, authorization, coding, timely filing, and COB-related denial handling. I prepare corrected claims, reconsiderations, and appeals to support reimbursement and reduce AR aging while meeting productivity and quality KPIs.

I’ve worked extensively with Medicare, Medicaid, and Commercial insurance plans, and I’m experienced using NextGen and eClinicalWorks (eCW) for claim management and follow-up. I collaborate with billing and coding teams to resolve claim issues efficiently and keep accounts moving forward.

Experience

Work history, roles, and key accomplishments

NS

Senior AR Caller

NYX Medical Solutions

Jun 2024 - Mar 2026 (1 year 9 months)

Performed insurance follow-up and resolved physician/professional claim denials by analyzing EOBs and ERAs, including eligibility, authorization, coding, timely filing, and COB issues. Prepared corrected claims, reconsiderations, and appeal requests while maintaining documentation and meeting daily productivity/quality KPIs using NextGen and eClinicalWorks (eCW).

Education

Degrees, certifications, and relevant coursework

VC

VNSGU - Daman College

Bachelor of Commerce (B.Com), Commerce

2023 - 2026

Pursuing a Bachelor of Commerce (B.Com) at VNSGU (Daman College) from 2023 to 2026.

HC

Higher Secondary (Commerce)

Higher Secondary (12th - Commerce), Commerce

Completed Higher Secondary (12th) in Commerce from a recognized board in 2023.

Tech stack

Software and tools used professionally

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