sanjay kumarSK
Open to opportunities

sanjay kumar

@sanjaykumar7

Detail-oriented Medical Billing Specialist with 4 years of experience.

India

What I'm looking for

I am looking for a dynamic healthcare environment in Europe where I can contribute my billing and administrative expertise.

I am a detail-oriented and experienced Medical Billing Specialist with over 4 years of experience in U.S. healthcare revenue cycle management. My expertise lies in claim adjudication, insurance verification, charge posting, and utilizing EPIC systems effectively. I possess a strong knowledge of U.S. health insurance policies and coding workflows, which allows me to navigate complex billing processes with ease.

Currently, I serve as a Senior Billing Executive at Cognithium Health, where I manage the end-to-end billing cycle and ensure accurate charge posting and follow-ups using EPIC software. Previously, I worked as a Senior Executive at Pacific BPO Pvt Ltd, where I reviewed claims, posted charges, verified insurance, and resolved billing issues. My commitment to excellence and my ability to work collaboratively in a dynamic healthcare environment have been key to my success in this field.

Experience

Work history, roles, and key accomplishments

CH
Current

Senior Billing Executive

Cognithium Health

Sep 2024 - Present (9 months)

Managed the end-to-end medical billing cycle, ensuring accuracy and efficiency. Utilized EPIC software for precise charge posting and diligent follow-ups on outstanding claims.

PH

Sr. Executive (Medical Biller)

Pacific BPO Pvt Ltd (Access Healthcare)

Dec 2022 - Sep 2024 (1 year 9 months)

Reviewed medical claims and accurately posted charges, ensuring compliance with billing regulations. Verified insurance coverage for patients and resolved complex billing issues, including processing appeals.

CA

Process Associate - Claim Adjudication

Capgemini

Worked on U.S.-based health insurance processes, focusing on claim adjudication. Ensured proper processing and resolution of insurance claims.

Education

Degrees, certifications, and relevant coursework

DU

Dr. R.M.L.A. University

Bachelor of Arts, Arts

Completed a Bachelor of Arts degree. The curriculum provided a broad foundation in various subjects.

UA

U.P. Board, Allahabad

High School Diploma, General Studies

Completed 12th grade education.

UA

U.P. Board, Allahabad

High School Diploma, General Studies

Completed 10th grade education.

Tech stack

Software and tools used professionally

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sanjay kumar - Senior Billing Executive - Cognithium Health | Himalayas