Karna Desai

Supervise and mentor a team of collections specialists, oversee daily collections activities, and analyze aging reports and KPIs to monitor team productivity. Collaborate with billing and customer service teams to resolve claim denials and ensure compliance with HIPAA and payer guidelines.

Served as subject matter expert for medical billing, processing complex patient statements and resolving claim issues related to insurance coverage, Medicare eligibility, and fee determinations. Processed remittances, posted payments, and re-billed denied claims to successful completion.

Built relationships with state program managers and providers to ensure compliance and optimize claims management. Provided data-driven insights for improving Medicaid claims processes and resolved billing disputes efficiently.

Fostered relationships with payers and resolved claims issues to facilitate faster payments and increase provider satisfaction. Managed complex projects valued at $3.2M, ensuring accurate billing and reporting for multiple health plans.

Served as subject matter expert for medical billing, processing complex patient statements and resolving claim issues related to insurance coverage, Medicare eligibility, and fee determinations. Processed remittances, posted payments, and re-billed denied claims to successful completion

Managed patient profiles in billing systems, reviewed claims for discrepancies, and collaborated with internal teams to approve claims and reimbursements. Delivered patient-centered support and streamlined workflows to improve claims processing.

Assisted patients and healthcare providers with prescription needs, ensuring timely and accurate order fulfillment. Maintained positive client relationships and processed customer transactions efficiently.

Delivered exceptional customer service by addressing concerns and providing knowledgeable support to clients. Collaborated with internal teams to resolve complex issues, ensuring a positive experience for clients and providers.

Grade: 3.30

Earned an Associate of Science in Liberal Arts with a GPA of 3.30.