I’m looking for a role where I can apply my 12 years of claims and ICD coding experience, improve accuracy in claim processing, solve complex insurance issues, and contribute to a team that values efficiency and patient-centered service.
Pratik Sapkota
@pratiksapkota
“12+ years in healthcare claims & ICD coding. Love correcting errors, working with insurers, and helping patients navigate insurance smoothly.”
What I'm looking for
I am a dedicated healthcare administrator with over 12 years of experience specializing in claims management, corrections, and ICD coding compliance. At Om Sai Pathibhara Hospital, I processed more than 400 claims daily, implementing audits and insurer communication strategies that reduced denials by 30%.
In my role as Claims In-Charge, I supported over 1000 patients monthly in navigating the claims process, which helped boost patient satisfaction scores by 40%. I also partnered with 15 insurers to resolve complex disputes, resulting in a 25% reduction in reimbursement delays.
My ability to combine accuracy, operational efficiency, and patient-centered communication — along with fluency in Nepali, English, and Hindi — enables me to excel in claims correction roles. I am eager to contribute these skills in a global, remote setting, ensuring error-free claims processing and timely reimbursements.
Experience
Work history, roles, and key accomplishments
Claim In-Charge
Om Sai Pathibhara Hospital
Mar 2017 - Aug 2025 (8 years 5 months)
Managed insurance claims processing, resolving disputes with insurers, and advocating for patients. Successfully processed 400 claims daily, reducing denials by 30% and improving reimbursement efficiency by 25%. Guided patients through claim procedures, enhancing satisfaction scores by 40%.
Education
Degrees, certifications, and relevant coursework
Madan Bhandari Memorial Academy
Diploma in General Medicine, General Medicine
2011 - 2017
Completed a Diploma in General Medicine with relevant coursework in Medical Coding ICD 9/10/11 and Healthcare Administration. Gained practical knowledge in patient care and healthcare documentation.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Salary expectations
Job categories
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