Pritesh Yadav
@priteshyadav
Revenue cycle representative with hands-on insurance verification and claims follow-up.
What I'm looking for
I am a revenue cycle representative with experience in eligibility verification, precertification, and claims follow-up across multiple payers and portals.
I have directly contacted insurance companies to obtain claim status, posted ERAs/EOBs, performed post-call investigations, and maintained audit trails for future reference.
I am familiar with billing and clinical systems including Intergy, Greenway Intergy, eClinicalWorks (eCW), and DRS, and I use multiple web portals and IVR systems to manage claim workflows.
I take a detail-oriented approach to documentation and appeals, preparing and sending appeals via fax, online submission, or mail and ensuring clear records for subsequent follow-up.
Experience
Work history, roles, and key accomplishments
Revenue Cycle Representative
Care Solutions Pvt Ltd
Mar 2023 - Jun 2024 (1 year 3 months)
Performed eligibility verification and pre-certification, obtained claim status from payers, and posted ERAs/EOBs to maintain accurate revenue records and audit trails.
Education
Degrees, certifications, and relevant coursework
Ramanand Arya DAV College
HSC, Higher Secondary Certificate
2017 - 2020
Studied at Ramanand Arya DAV College from 2017 to 2020; completed HSC-level studies during this period.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
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