Open to opportunities

Rajan pandey

@rajanpandey1

Message

Dedicated RCM Specialist with 6 years of healthcare experience.

India

Message

What I'm looking for

I am looking for a role that offers growth opportunities and a collaborative environment.

I am a practical person with a strong commitment to accuracy and precision in my work. With over six years of experience in the healthcare industry, I have developed a solid foundation in revenue cycle management, particularly in the areas of radiology and oncology. My journey began at Infinx Healthcare Solutions, where I honed my skills as a Prior Authorization Specialist, obtaining necessary authorizations from insurance companies and analyzing patient records.

Throughout my career, I have held positions at Omega Health Care Solutions and Pacific Healthcare, where I advanced to Senior AR Associate roles. My responsibilities included managing patient information, handling claims with various insurances, and ensuring compliance with insurance regulations. I pride myself on my ability to build strong relationships with insurance providers and my dedication to resolving claims efficiently. Currently, I am working with Eclat Health Solutions, where I continue to leverage my expertise in handling aging claims and addressing denials.

Experience

Work history, roles, and key accomplishments

Current

Senior AR Associate

Current

Eclat Health Solution

Nov 2023 - Present (1 year 7 months)

Currently working as a Senior AR Associate specializing in revenue cycle management. Focused on aging claims, identifying trends with payers, and managing rejected/denied claims. Experienced in verifying insurance and resubmitting claims.

Revenue Cycle Management Aging Claims Communication Claims Handling Trend Analysis

Senior AR Associate

Pacific Healthcare

Jun 2021 - Nov 2021 (5 months)

Worked as a Senior AR Associate focusing on revenue cycle management. Responsibilities included managing patient information, handling claims, verifying insurance, and addressing denials. Skilled in submitting electronic and paper claims.

Medical Revenue Cycle Management Claims Handling Communication

Senior AR Associate

Omega Health Care Solutions

Feb 2021 - Jun 2021 (4 months)

Served as a Senior AR Associate specializing in revenue cycle management. Managed patient information, handled claims with various insurances, and verified insurance details. Experienced in reading EOBs and correcting denial claims.

Medical Revenue Cycle Management Claims Handling Communication

PriorAuth Specialist

Infinx Healthcare Solutions

Jan 2018 - Feb 2021 (3 years 1 month)

Worked as a PriorAuth Specialist focusing on obtaining prior authorization from insurance for radiology and oncology specialties. Responsibilities included analyzing patient records, verifying insurance coverage, and maintaining medical billing records.

Medical Billing Radiology Oncology Communication Relationship Management Claims Management