Abhishek

Healthcare Revenue Cycle Management (RCM) professional with experience in AR Calling, AR Follow-up, denial management, payment posting (EOBs, ERAs, checks, EFTs), payment reconciliation, and internal auditing. Skilled in claims follow-up, denied claims resolution, reimbursement processing, and payer communication while ensuring compliance with HIPAA regulations and payer guidelines. Promoted from Process Associate to Senior Process Associate for strong performance and operational excellence.

Senior Process Associate at Data Solutions India Pvt. Ltd. (2024-07 – Present)

• Worked as a Trainee Process Associate on the Vision Web project, gaining hands-on experience in cloud-based and remote Practice Management Systems (PMS) while adhering to HIPAA compliance and data security standards.
• Transitioned to the MED as a Process Associate Performed AR follow-up on medical claims with insurance providers to ensure maximum reimbursement. Investigated denied and underpaid claims and initiated appeals/resubmissions for resolution.
• Directed project activities for OMS as Senior Process Associate, ensuring efficient task management and effective collaboration among team members.
• Analyzed internal processes through audits to maintain accuracy and compliance with established payer and organizational protocols.
• Handled AR emails, correspondence, efficiently resolved client queries, and supported timely collections.

Bachelor of Technology in Computer Science – J.C. Bose University of Science and Technology (2019-08 – 2024-06)

Senior Secondary in Science PCM – Vidya Mandir Public School (2019-06)