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Neeraj SharmaNS
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Neeraj Sharma

@neerajsharma11

RCM Manager at PRS HEALTHCARE, reducing claim rejections by 25% and generating $1.2M in annual savings through automation and analytics.

India
Message

At PRS HEALTHCARE, I lead RCM operations and reimbursement strategy for a team supporting physician groups and hospital clients. I reduced claim rejection rates by 25% through pre-billing audit controls and helped generate $1.2M in annual savings through automation and analytics.

Across healthcare revenue cycle roles, I’ve worked on complex claims, denials and appeals, payer negotiations, and AR performance. My work has included using Power BI and SQL for analytics, supporting HIPAA and CMS compliance, and improving billing workflows with platforms such as Epic, Cerner, and Kareo.

Experience

Work history, roles, and key accomplishments

CL

Team Lead – Provider Relations Manager

CGS (Competent Global Solutions Pvt. Ltd.)

Sep 2021 - Nov 2022 (1 year 2 months)

Audited high-value claims for surgery centers, uncovering code unbundling and fraudulent coding. Optimized AR performance to maintain 27 Days in AR and reduced bad debt to 3%.

CL

AR Executive

CGS (Competent Global Solutions Pvt. Ltd.)

Aug 2017 - Sep 2018 (1 year 1 month)

Managed complex insurance follow-up across Commercial, Federal, Workers' Compensation, and No-Fault payers. Designed performance reporting templates and conducted technical onboarding sessions for new AR team members.

Education

Degrees, certifications, and relevant coursework

Madurai Kamaraj University logoMU

Madurai Kamaraj University

Bachelor of Science, Mathematics

2011 - 2014

Pursued a Bachelor of Science in Mathematics from Madurai Kamaraj University, India, from 2011 to 2014.

TR

TrainingYA

360-Degree Data Science Course, Data Science

Completed a 360-degree Data Science course from TrainingYA, Gurgaon, in weekend mode.

AAPC logoAA

AAPC

Certified Professional Coder (CPC), Medical Coding

Earned the Certified Professional Coder (CPC) certification from AAPC.

PM

PMBA

Certified FMC-HCC Coder, Medical Coding

Earned the Certified FMC-HCC Coder certification from PMBA.

PM

PMBA

Certified AI Coder, Medical Coding

Earned the Certified AI Coder certification from PMBA.

PM

PMBA

Certified CPMB, Medical Coding

Earned the Certified CPMB certification from PMBA.

Tech stack

Software and tools used professionally

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