Sandeep PiseSP
Open to opportunities

Sandeep Pise

@sandeeppise

Detail-oriented Medical Billing Specialist with extensive experience.

India
Message

What I'm looking for

I am looking for a role that offers growth opportunities and values efficiency in billing processes.

I am a detail-oriented and highly organized Medical Billing Specialist with years of experience in managing patient billing, insurance claims, and revenue cycle processes. My proficiency in medical coding, claim submission, and denial management has enabled me to ensure accurate and timely billing, which is crucial in the healthcare industry.

Throughout my career, I have worked with various organizations, including NS Infotech and Ajuba Healthcare, where I honed my skills in accounts receivable follow-up and denial management. I am adept at using electronic health record (EHR) systems and have a proven track record of maximizing reimbursements from insurance companies. My commitment to maintaining compliance with healthcare regulations and improving billing procedures has consistently contributed to the efficiency of the billing departments I have been part of.

Experience

Work history, roles, and key accomplishments

KH

SR, Account Receivable

Kraft Healthcare

Apr 2023 - Present (2 years 3 months)

Resolved billing discrepancies and denials by providing necessary documentation and appeals, and generated monthly financial reports to identify improvement areas. Supported the billing department by processing patient charges and updating records.

AH

Accounts Executive

Ajuba Healthcare

Oct 2021 - Present (3 years 9 months)

Managed accounts receivable follow-up and denial management, actively working to reopen denied claims for maximum reimbursement. Monitored and addressed major rejections or denials from clearinghouses or carriers.

CH

SR, Account Receivable Analyst

Coronis Healthcare

May 2020 - Present (5 years 2 months)

Performed accounts receivable follow-up and denial management, including rebilling and payment posting, to ensure maximum reimbursement. Monitored and resolved major rejections or denials from clearinghouses or carriers.

AS

AR Associate

Acme Business Solutions

Dec 2018 - Present (6 years 7 months)

Verified patient eligibility and benefits, and managed accounts receivable follow-up and denial processes. Focused on reopening denied claims to achieve maximum reimbursement from insurance companies while monitoring rejections.

AS

Medical Billing AR

Arvee Business Solutions

Apr 2016 - Present (9 years 3 months)

Handled accounts receivable follow-up and denial management, reopening denied claims to secure maximum reimbursement from insurance companies. Kept a close watch on major rejections or denials from clearinghouses or carriers.

NI

Senior Associate

NS Infotech

May 2012 - Present (13 years 2 months)

Managed accounts receivable follow-up and denial management, focusing on denied claims to maximize reimbursement from insurance companies. Monitored major rejections or denials from clearinghouses or carriers to ensure timely resolution.

Education

Degrees, certifications, and relevant coursework

UN

Unknown

Bachelor of Business Administration, Business Administration

Currently pursuing a Bachelor of Business Administration degree.

RS

Rotary English Medium School

Plus Two, General Studies

Completed secondary education at Rotary English Medium School.

KU

Karnataka University

Diploma, Civil Engineering

Obtained a Diploma in Civil Engineering from Karnataka University.

Tech stack

Software and tools used professionally

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Sandeep Pise - SR, Account Receivable - Kraft Healthcare | Himalayas