Mehul Rajyaguru
@mehulrajyaguru
I manage medical billing, claims follow-up, and denials for US healthcare.
What I'm looking for
At Prakruti Med Solutions, I manage medical billing support for US healthcare revenue cycle operations, including eligibility and benefits verification, prior authorizations, AR follow-up, and denial management.
I work across Dermatology, Neurosurgery, and Gastroenterology, handling claim status checks, appeals, reconsiderations, and payer communication to maximize reimbursements and reduce aging claims. I use CPT, ICD-10, HCPCS, insurance policies, and payer-specific billing requirements to maintain accurate billing processes.
I'm committed to compliant, accurate documentation and billing support, with hands-on experience in insurance portals, claim submission, Microsoft Excel, Word, and medical billing software.
Experience
Work history, roles, and key accomplishments
Medical Billing Specialist
Prakruti Med Solutions Pvt Ltd
Jan 2023 - Present (3 years 7 months)
Performed eligibility and benefits verification, managed prior authorizations, and handled AR follow-up and denial management across multiple specialties. Ensured compliance with HIPAA and maintained accurate billing documentation.
Education
Degrees, certifications, and relevant coursework
Gujarat University
Bachelor of Commerce, Commerce
Bachelor of Commerce degree from Gujarat University, Ahmedabad, completed in 2020.
GPB Municipal High School - Dhari
High School Diploma, General Studies
High school diploma from GPB Municipal High School - Dhari, completed in 2017.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
Skills
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