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Kunjan Makani

@kunjanmakani

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I recover clean healthcare claims by combining clinical pharmacy knowledge with hands-on medical billing accuracy.

United States

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What I'm looking for

I'm looking for a remote or local medical billing role where I can apply claims, coding, denial follow-up, and AR experience to support accurate reimbursement and revenue recovery.

I'm a CPC-A medical billing professional who combines clinical pharmacy knowledge with hands-on U.S. claims, coding, and accounts receivable work.

At Total Access Urgent Care, I verified eligibility and demographics in Availity, reviewed charts and superbills, and corrected ICD-10-CM, CPT, and HCPCS issues before claims submission.

I analyzed EOBs, ERAs, and clearinghouse rejections, handled 25–30 AR calls daily, followed up on denials, and supported payer audits and appeals while maintaining HIPAA compliance.

My pharmacy and clinical records experience has given me a practical understanding of healthcare workflows, clinical terminology, patient records, and the details that affect accurate billing and revenue recovery.

Experience

Work history, roles, and key accomplishments

Current

Clinical Records Specialist & Pharmacy Professional

Current

Pulse Pharmacy

Aug 2017 - Present (9 years 1 month)

Maintained accurate and confidential patient and pharmaceutical records, ensured regulatory compliance and data security, and applied medical and pharmaceutical knowledge to support clinical decision-making and resolve patient queries.

Medical Records Management Regulatory Compliance Data Security Clinical Terminology Patient Communication

Billing Assistant

Total Access Urgent Care

Jan 2023 - Jul 2023 (6 months)

Verified insurance eligibility and patient demographics using Availity, reviewed charts and superbills against coding standards, analyzed EOBs and ERAs, conducted AR calls, and managed claim resubmissions and payer audits with HIPAA compliance.

Availability ICD 10 CM CPT HCPCS ERAs Claims Processing Denial Management Accounts Receivable HIPAA compliance

Customer Service & Quality Auditor

Sheroes & Etech

Jan 2010 - Feb 2017 (7 years 1 month)

Resolved customer issues through systematic problem-solving and adherence to procedures, and audited recorded interactions against quality standards, developing strong attention to detail and systematic verification.

Customer Service Problem Solving Quality Auditing Process Adherence