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NAND GOPAL PANDEY

@nandgopalpandey

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Revenue Cycle Management Specialist at ARS Medical Billing and Coding who improved collection velocity by 22%.

India

Message

At ARS Medical Billing and Coding, I stabilized AR for a high-volume hospital client, improving initial collection velocity by 22%. I also developed a patient and guarantor outreach workflow that reduced Coordination of Benefits denials by 30%.

Across roles at Neolytix, Pacific BPO Pvt. Ltd., and R1 RCM, I’ve worked on medical, dental, and vision claims, quality audits, denial resolution, and eligibility verification. I use tools including Epic, AthenaOne, pVerify, and Zoll, and have supported team training and workflow improvements.

Experience

Work history, roles, and key accomplishments

Sr. AR Executive

ARS Medical Billing and Coding

Oct 2024 - May 2026 (1 year 7 months)

Spearheaded AR stabilization for a high-volume hospital client, improving initial collection velocity by 22% within the first quarter. Developed a customized workflow for patient/guarantor outreach that reduced Coordination of Benefits (COB) denials by 30%.

PVerify Zoll Epic athenaOne Waystar CPT ICD 10 HCPCS Codify Excel SharePoint

Quality Analyst (QA)

Neolytix

Jan 2024 - Sep 2024 (8 months)

Managed end-to-end quality audits for diverse AR portfolios, identifying revenue leakage points that saved an estimated $50k+ in monthly potential write-offs. Engineered and delivered training modules for new hires, reducing the learning curve by 2 weeks and improving floor accuracy scores from 85% to 96%.

PVerify Zoll Quality Assurance Audit Training Data Analysis Excel

Senior Executive

Pacific BPO Pvt. Ltd.

Feb 2021 - Nov 2023 (2 years 9 months)

Managed high-complexity medical, dental, and vision claims within Epic and SSI, ensuring zero-error resolution of EDI rejections and clearinghouse front-end edits. Led a task force focused on challenging Bundled and Non-Covered denials with major US payers, achieving a 40% reversal rate.

Epic SSI PVerify Zoll Dentrix Software Aetna Blue Cross Blue Shield United Healthcare EDI Claims Management Dental Billing

AR Analyst

R1 RCM

Mar 2020 - Feb 2021 (11 months)

Managed a high-dollar inventory for Medicaid and Commercial payers across medical, dental, and vision specialties, consistently maintaining a 98% quality accuracy rating. Successfully appealed aged claims (120+ days), recovering significant revenue previously deemed uncollectible.

Medicaid Commercial Payers Claims Appeals AR Management Quality Assurance