Open to opportunities

Prakash Pal

@prakashpal

Message

Experienced AR/medical billing professional specializing in US healthcare denials and appeals.

India

Message

What I'm looking for

I am seeking AR/medical billing roles where I can reduce aged receivables, manage denials and appeals, work with EHR/billing systems, and grow within a collaborative healthcare revenue-cycle team.

I am an AR and medical billing specialist with over 2 years of corporate experience focused on US healthcare denials, appeals, claims adjustments, and prior authorization workflows. I have worked on provider-side managed care (HMO, PPO) processes, handled high-dollar CPT prior authorizations using NexGen, and reduced aged AR (120+) through timely follow-up and insurer engagement.

I have senior AR experience across internal medicine (PCP), pulmonary and sleep, and hospital billing using ECW, TBRCM and Thrive systems. I bring strong MS Office and keyboard skills, a quick-learning adaptive approach, and a proven record of meeting 24-hour TATs for denial follow-up.

Experience

Work history, roles, and key accomplishments

Current

Senior AR Executive

Current

TruBridge Healthcare Private Limited

Nov 2024 - Present (10 months)

Executing accounts receivable and hospital billing tasks remotely using TBRCM and Thrive, performing insurance follow-ups and denial resolution to recover outstanding receivables.

Thrives Insurance Follow Up Remote Collaboration MS Excel

Senior AR Executive

Ascent Business Solutions

Jul 2022 - Nov 2024 (2 years 4 months)

Handled AR denials, appeals and claims adjustments for provider managed-care (HMO/PPO), reducing 120+ old AR and resolving patient queries; managed prior authorizations for high-dollar vascular surgery CPTs. Supported two projects (Internal Medicine PCP and Pulmonary & Sleep) and met 24-hour TAT for denial follow-up.

Denial Management Appeals Nexgen MS Excel