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Pratik SapkotaPS
Open to opportunities

Pratik Sapkota

@pratiksapkota

“12+ years in healthcare claims & ICD coding. Love correcting errors, working with insurers, and helping patients navigate insurance smoothly.”

Nepal
Message

What I'm looking for

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.

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

Education

Degrees, certifications, and relevant coursework

MA

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

Open to opportunities

Location

Nepal

Authorized to work in

Salary expectations

0-0 USD

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Pratik Sapkota - Claim In-Charge - Om Sai Pathibhara Hospital | Himalayas