i
ishan_thapa03

Ishan Thapa

@ishan_thapa03

Medical Billing AR Specialist, Denial Management, Physician and DME Billing

Índia
Inglês, Hindi, Nepali
Algumas informações são exibidas no idioma inglês.
Sobre mim
I work in US medical billing with hands-on experience in DME AR and physician billing. I support healthcare providers with AR follow ups, denial management, claim status checks, and resolving aged AR. My responsibilities include investigating unpaid or denied claims, reviewing EOBs, working through payer portals, and contacting insurance representatives to resolve claim issues. I focus on reducing outstanding AR and improving revenue cycle performance for healthcare practices.... Saiba mais

Habilidades

i
ishan_thapa03
Ishan Thapa
offline • 
Tempo médio de resposta: 1 hora

Conheça meus serviços

Assistência geral
I will medical billing, denial management and payment posting
A partir deUS$ 10 /projetoMais detalhes

Portfólio

Experiência profissional

Accounts Receivable Executive

MedKarma • Período integral

Aug 2024 - Feb 2025 • 6 mos

Worked as an Accounts Receivable Executive handling US healthcare accounts for Durable Medical Equipment providers. Responsible for managing the AR workflow and ensuring timely reimbursement of insurance claims by performing detailed follow ups and denial resolution. Key responsibilities included: • Performing AR follow ups on unpaid, rejected, and underpaid claims • Reviewing claim status through payer portals for Medicare, Medicaid, and Commercial insurance • Identifying denial reasons and researching claim issues through EOBs and payer systems • Submitting first level appeals, reconsiderations, and corrected claims when required • Reviewing aging reports and prioritizing claims above 60–90 days for resolution • Contacting insurance representatives to obtain claim status and payment updates • Escalating complex claims and coordinating with billing teams to correct errors • Maintaining documentation of follow up actions and claim outcomes Focused on reducing aged AR, improving reimbursement turnaround time, and supporting efficient revenue cycle operations for healthcare providers.

Medical Billing AR Specialist

knack Global • Período integral

Dec 2022 - Aug 2024 • 1 yr 8 mos

Worked as a Medical Billing AR Specialist handling US healthcare accounts with a focus on Accounts Receivable follow ups and denial management for DME and physician billing. Responsible for investigating unpaid claims and ensuring timely reimbursement from insurance payers. Key responsibilities included: • Performing AR follow ups on unpaid and underpaid insurance claims • Reviewing claim status through payer portals for Medicare, Medicaid, and Commercial insurance • Analyzing EOBs to identify denial reasons and claim issues • Resolving common denials such as eligibility, authorization, and timely filing rejections • Submitting corrected claims and first level appeals when required • Reviewing aging reports and prioritizing accounts above 60–90 days • Communicating with insurance representatives to obtain claim status and payment updates • Documenting follow up actions and maintaining claim resolution records Focused on improving collections, reducing aging AR, and maintaining accurate workflow management for healthcare billing operations.