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Viral PatilVP
Open to opportunities

Viral Patil

@viralpatil

RCM professional skilled in medical billing, denial management, and eligibility verification.

India
Message

What I'm looking for

I seek an RCM role focused on reducing denials, improving revenue efficiency, working cross-functionally with payers/providers, and opportunities for process ownership and growth.

I am a CM C certified medical billing and revenue cycle professional with 2+ years of experience improving billing workflows, reducing claim denials, and ensuring compliance with insurance guidelines. I have hands-on experience with Epic, AdvancedMD, Salesforce, and a proven record of improving revenue-cycle efficiency through denial analysis, appeals, and process improvements.

I communicate effectively with payers, providers, and patients to resolve eligibility and claims issues, handle pre-authorizations, and maintain accurate patient and insurance data. I thrive in fast-paced, deadline-driven environments and am seeking to contribute my RCM expertise to healthcare organizations in Malaysia.

Experience

Work history, roles, and key accomplishments

CM
Current

Senior Executive Operations

Credence Resource Management

May 2024 - Present (1 year 7 months)

Verify patient insurance coverage and eligibility, manage pre-authorizations, and maintain accurate patient insurance and demographic records to reduce eligibility-related denials and ensure compliance with insurance regulations.

AH

Senior Client Partner

Access Healthcare

Oct 2023 - Apr 2024 (6 months)

Processed medical claims, posted charges and payments, tracked claim denials and payments, and adhered to client SLAs to improve revenue cycle efficiency and reduce outstanding receivables.

TI

Account Executive Operations

Transworld System India

Feb 2022 - Sep 2023 (1 year 7 months)

Managed inbound/outbound calls with insurers to obtain and update insurance information, ensuring accurate system records and supporting collections for hazard insurance accounts.

GH

Account Receivable

Gebbs Healthcare

Aug 2021 - Feb 2022 (6 months)

Followed up with payers and patients on outstanding receivables, analyzed accounts to resolve billing discrepancies and denials, and ensured timely submission of claims and accurate documentation.

Education

Degrees, certifications, and relevant coursework

Shivaji University logoSU

Shivaji University

Bachelor of Science, Science

2020 - 2021

Grade: 70%

Completed a Bachelor of Science degree with a focus on foundational science coursework and a final grade of 70%.

SC

Sanskar Dham College of Science and Commerce

Higher Secondary Certificate, Science and Commerce

2017 - 2018

Grade: 43.23%

Completed Higher Secondary Certificate (HSC) with a final percentage of 43.23%.

UM

Utakarsh Vidya Mandir

Secondary School Certificate, General Secondary Education

2015 - 2016

Grade: 70.20%

Completed Secondary School Certificate (SSC) with a final percentage of 70.20%.

Tech stack

Software and tools used professionally

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Viral Patil - Senior Executive Operations - Credence Resource Management | Himalayas