Rahul P.

ABOUT ME

Greetings, my name is Rahul Parab. I am a Graduate in Bachelor of Commerce Studies. Motivated medical billing and coding specialist with over 12+ years of experience in health operations management, billing, and coding.
Expertise in ICD-9 and ICD-10, CPT, and HCPCS coding. Highly skilled in analysing and validating patient information, diagnoses, and billing data, Payment Posting AR Follow up.
Demonstrated leadership skills that enable the processing of high volumes of patient information to achieve revenue generation goals.
Responsible for following up on claims, calling and collecting money from insurance companies. Resolved billing issues identified by insurance carriers and patients.
Reviewed claim denials and payer requirements for corrective action and prevention in the future.
Researched and replied in a timely manner to insurance, patient, and internal customer inquiries.
Kept accurate records of all activity and conversations for each file Core Qualifications-
ICD-9 and ICD-10 Coding. CPT and HCPCS Coding.
Insurance Verification. Charge Entry.
Claim Filing.
EDI rejections
Payment Posting.
Denial Management.
Account Receivable Followup.
Claim Resolution.
Medical Billing.
Medical Records Management.
Credentialing.
Reimbursement management
Patient Confidentiality.
Prior Authorization.
Skills: - Team Leader. HMO's and Medicare. Operations Management. Quality Assurance and Auditing. I am Hardworking by nature. Willing to put extra hours in if necessary. Fast Learner, Great Listening Skills, interested in working and learning new things, Trustworthy. I’m a good English Speaker with meticulous eye for detail and a concentrated focus. I have a good typing speed of 85 WPM which would be helpful for this project. My approach to project is Fast, Flexible and Friendly! Can start the work right away!!
Achievements: Employee of the Year for 2016, 2017, handled a Team of 60 people and generated a profit of $878,233.10. Recognition and promotion for maintain Quality above 90%. Rewards for resolving claims and finding trends.

SKILLS