vishal Karatlapally
@vishalkaratlapally
Denial Management Specialist maximizing revenue recovery and clean claims.
What I'm looking for
I am a Denial Management Specialist and Medical Biller with over seven years of experience in U.S. healthcare revenue cycle management, focused on recovering payments and reducing AR days.
I have executed denial resolution strategies across multiple projects, performed complex AR analysis on high-dollar and aged accounts, and accelerated cash flow recovery through targeted interventions.
I collaborate with cross-functional teams across India, the Philippines, and U.S. clients to resolve complex claim issues, identify systemic billing problems, and implement preventive action plans for sustained improvement.
I am skilled in drafting clinical and non-clinical appeals, interpreting payer policy (Medicare & commercial), and supporting clean claim submission using multiple PM, EHR, and clearinghouse platforms while maintaining HIPAA compliance.
Experience
Work history, roles, and key accomplishments
Denial Management Specialist
Doctus Business Solutions Ltd.
Aug 2023 - Present (2 years 6 months)
Receivables specialist driving denial resolution across 8+ projects to reduce AR days and accelerate cash recovery; executed charge entry, appeals, and systemic fixes while ensuring HIPAA and payer compliance.
Denial Management Specialist
Infinx Healthcare
Apr 2021 - Mar 2022 (11 months)
Managed complex AR inventory with focus on 90+/180+ day buckets, conducted root-cause denial analysis and drafted clinical/non-clinical appeals to improve liquidation and overturn rates.
Senior AR Analyst - RCM
Granduer Consultants
Feb 2018 - Mar 2021 (3 years 1 month)
Investigated claim rejections, corrected billing errors and coordinated with billing/coding teams and payers to secure reimbursements and prevent repeat denials.
AR Analyst - RCM
AGS Health
Jan 2016 - Feb 2017 (1 year 1 month)
Started as a process associate in RCM focusing on denial identification and corrective actions; advanced to senior AR responsibilities by improving clean claim rates and reducing outstanding AR.
Education
Degrees, certifications, and relevant coursework
vishal hasn't added their education
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