Shivam Gupta
@shivamgupta6
Dedicated billing specialist with expertise in revenue cycle management.
What I'm looking for
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
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
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.
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.
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.
Availability
Location
Authorized to work in
Job categories
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