Available to hire
I’m a results-driven Senior Medical Billing Executive and Business Analyst with 3+ years of experience in healthcare revenue cycle management, including medical billing, claims processing, denial management, and accounts receivable (AR) follow-up. I focus on improving first-pass claim resolution, reducing rejections, and ensuring accurate insurance eligibility, prior authorizations, and payment posting while staying aligned with HIPAA and payer guidelines.
Experience Level
Expert
Expert
Expert
Expert
Expert
Expert
Expert
Expert
Expert
Expert
Intermediate
Intermediate
Language
Hindi
Advanced
English
Advanced
Urdu
Advanced
Work Experience
Senior Medical Billing Executive at NYX Medical Solution
August 1, 2026 - PresentLed end-to-end medical billing and accounts receivable operations for assigned payer portfolios, ensuring accurate charge entry, clean claims submission, and timely reimbursements under RCM standards. Investigated and resolved denials, underpayments, and billing discrepancies by coordinating with payers/TPAs and internal coding and clinical teams to improve first-pass resolution. Performed HIPAA- and guideline-aligned quality audits to reduce rejections and compliance risk, prepared AR aging/collections/TAT reports for management, verified eligibility and prior authorizations, and posted payments/adjustments accurately. Acted as an escalation point for high-value and aged claims, collaborating cross-functionally to streamline workflows, shorten claim turnaround time, and mentor junior billing staff on claims processing, denial management, and AR follow-ups.
Accounts Receivable Associate (AR) at GeBBs Healthcare Solutions
July 1, 2023 - August 1, 2026Handled insurance eligibility verification and retrieved claims data from payer portals to reduce denial rates through accurate pre-authorization and benefits verification. Researched and resolved account discrepancies, billing disputes, and credit history issues while maintaining strong collection performance and improving AR turnaround time. Produced weekly/monthly AR aging reports and financial statements using Excel, and collaborated with collections, billing, and clinical teams to investigate billing errors in line with payer guidelines and HIPAA requirements. Prepared dispute batches and client briefs/invoices, maintaining accurate records of payment statuses, credit notes, and account histories in MIS.
MIS Executive at SS Logistics
April 1, 2023 - July 1, 2023Managed operational workflows and client communications by ensuring timely resolution of logistics queries and maintaining high service delivery standards. Designed and maintained Excel-based MIS reports and dashboards with data-driven insights for senior management decisions, administered and maintained company databases to ensure data consistency and integrity, and built weekly performance reports with trend analysis to identify inefficiencies and recommend improvements that streamlined reporting timelines.
Education
B.Sc. Biotechnology at Tilak College of Science & Commerce, Mumbai University
January 1, 2020 - January 1, 2023HSC (Science) at SK Bose Jr. College, Dombivli
January 1, 2018 - January 1, 2020Certification in Business Analysis (BA) at IMS Pro School, Thane
January 1, 2023 - September 6, 2026B.Sc. Biotechnology at Tilak College of Science & Commerce, Mumbai University
January 1, 2020 - January 1, 2023HSC (Science) at SK Bose Jr. College, Dombivli
January 1, 2018 - January 1, 2020Certification in Business Analysis (BA) at IMS Pro School, Thane
January 1, 2023 - January 1, 2023Qualifications
Certification in Business Analysis (BA) — IMS Pro School, Thane
January 1, 2023 - September 6, 2026Certification in Business Analysis (BA) — IMS Pro School
January 1, 2023 - January 1, 2023Industry Experience
Healthcare, Financial Services, Professional Services, Real Estate & Construction
Experience Level
Expert
Expert
Expert
Expert
Expert
Expert
Expert
Expert
Expert
Expert
Intermediate
Intermediate
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