Rupesh Gupta

I’m a Medical Billing and Revenue Cycle Management professional with 5+ years of U.S. healthcare billing experience across ophthalmology, retina, and ambulatory surgery specialties, including 3+ years dedicated to retina billing and physician/professional (ProFee) billing. I’m known for accuracy and strong claim-organization habits that directly support faster, cleaner processing.

I build consistently clean claim submissions through charge entry, J-code and modifier-based drug billing, and careful Medicare and Medicare Advantage handling. I resolve rejections and denials by identifying root causes, applying corrections, and resubmitting claims, while escalating payer issues across major EDI platforms and payer portals (Trizetto, Availity, PayerPath, UHC, UMR).

In my current role as a Billing and Rejection Specialist at TruBridge Healthcare Private Limited, I manage retina specialty claim processing, reduce denial rates, allocate daily work assignments, and support production and quality targets. Previously, at Viewgol Healthcare Solutions and Gebbs Healthcare Solutions, I managed daily billing workflows, performed clean claim billing, and prepared appeal packets—always with a focus on improving reimbursement outcomes.