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Pritesh YadavPY
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Pritesh Yadav

@priteshyadav

Revenue cycle representative with hands-on insurance verification and claims follow-up.

Zimbabwe
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What I'm looking for

I seek a role in revenue cycle or claims where I can use my verification, claims follow-up, and appeals experience in a process-driven, collaborative team to reduce denials and improve cash flow.

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

CL

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

RC

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

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Pritesh Yadav - Revenue Cycle Representative - Care Solutions Pvt Ltd | Himalayas