Himalayas logo
PS
Open to opportunities

Pratik Sapkota

@pratiksapkota1

Healthcare administrator with 7+ years' experience optimizing claims, reducing denials, and improving patient satisfaction.

Nepal
Message

What I'm looking for

I seek remote roles from Nepal with international teams where I can apply claims expertise, improve reimbursement processes, ensure coding compliance, and enhance patient experience.

I am a dedicated, results-driven healthcare administrator with over seven years' experience in claims management, dispute resolution, and patient advocacy. I consistently process high volumes of insurance claims with accuracy, reducing denials and accelerating reimbursements.

My work has improved patient satisfaction through clear communication and efficient front-desk operations, and I have coordinated with numerous insurers to streamline payments and resolve complex claim corrections. I maintain strong compliance with ICD and CPT coding standards and conduct operational audits to ensure accuracy.

I thrive in fast-paced healthcare environments and enjoy collaborating with international teams remotely. I bring practical training in general medicine and dialysis, paired with proficiency in Microsoft Excel and multilingual communication to support patients and insurers effectively.

Experience

Work history, roles, and key accomplishments

OH
Current

Claims & Reception In-Charge

Om Sai Pathibhara Hospital

Jan 2019 - Present (6 years 11 months)

Processed 400+ insurance claims daily with high accuracy, reducing denials by 30% and coordinated with 15 insurers to achieve 25% faster reimbursements; improved patient satisfaction by 40% through enhanced communication and front-desk operations.

Education

Degrees, certifications, and relevant coursework

NC

National Kidney Center

Dialysis Training Certificate, Dialysis / Nephrology Training

2025 - 2025

Completed Dialysis training at the National Kidney Center from May 2025 to October 2025 focusing on dialysis procedures and patient care.

UM

Unknown Institution (Diploma in General Medicine)

Diploma in General Medicine, General Medicine

2014 - 2017

Completed a Diploma in General Medicine between 2014 and 2017 with clinical and foundational medical training.

Tech stack

Software and tools used professionally

Find your dream job

Sign up now and join over 100,000 remote workers who receive personalized job alerts, curated job matches, and more for free!

Sign up
Himalayas profile for an example user named Frankie Sullivan
Pratik Sapkota - Claims & Reception In-Charge - Om Sai Pathibhara Hospital | Himalayas