Shivam GuptaSG
Open to opportunities

Shivam Gupta

@shivamgupta6

Dedicated billing specialist with expertise in revenue cycle management.

India

What I'm looking for

I am looking for a role that allows me to leverage my billing expertise in a collaborative environment, with opportunities for professional growth and development.

I am a dedicated billing specialist with a strong background in revenue cycle management. Currently, I work at Sunknowledge Services INC, where I excel in denial management, identifying and resolving insurance claim denials to enhance revenue performance. My experience includes collaborating with billing and coding teams to ensure accurate reimbursements and reduce future denials.

With a Bachelor of Computer Applications from The Calcutta Anglo Gujarati College, I have developed a solid foundation in analytical skills and software proficiency. I am adept at managing pre-authorizations and have a thorough understanding of payer guidelines, which allows me to navigate the complexities of insurance claims processing effectively.

My commitment to detail and organization, combined with my knowledge of HIPAA regulations, ensures that I maintain strict patient confidentiality while delivering exceptional service. I am passionate about improving processes and contributing to the overall success of the revenue cycle.

Experience

Work history, roles, and key accomplishments

SI
Current

Billing Specialist

Sunknowledge Services INC

Jan 2022 - Present (3 years 4 months)

Experienced in identifying, analyzing, and resolving insurance claim denials to improve revenue cycle performance. Skilled in working with payer guidelines, appealing denied claims, and collaborating with billing and coding teams to reduce future denials and ensure accurate reimbursement. Proven ability to obtain, track, and manage pre-authorizations, Retro Auths and prior approvals from insurance

Education

Degrees, certifications, and relevant coursework

TC

The Calcutta Anglo Gujarati College

Bachelor of Computer Applications, Computer Applications

Grade: DGPA-8.21 (74.6%)

Graduated with a DGPA of 8.21 (74.6%). This program provided a strong foundation in computer applications.

PI

Pramila Memorial Institute

Higher Secondary Education, General Studies

Grade: 71%

Completed XII standard with a score of 71%. This education provided a broad academic background.

HI

Holy Palace Multipurpose Institute

Secondary Education, General Studies

Grade: 81.57%

Completed X standard with a score of 81.57%. This foundational education covered various subjects.

Tech stack

Software and tools used professionally

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Shivam Gupta - Billing Specialist - Sunknowledge Services INC | Himalayas