Pratik Sapkota
@pratiksapkota1
Healthcare administrator with 7+ years' experience optimizing claims, reducing denials, and improving patient satisfaction.
What I'm looking for
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
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.
Claims In-Charge
Provincial Hospital
Jan 2018 - Dec 2023 (5 years 11 months)
Managed claim submissions, audits, and dispute resolutions ensuring compliance with ICD and insurance standards while supporting 100+ patients monthly to navigate the claims process.
Education
Degrees, certifications, and relevant coursework
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.
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
Availability
Location
Authorized to work in
Job categories
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