Deepaksinh Tomar

High-performing Revenue Cycle Management (RCM) professional with nearly 3 years of combined expertise across US Healthcare Accounts Receivable (AR) follow-up (2 years) and specialized Medical Record (MR) / Denial Analysis (10 months). Proven track record of auditing complex clinical documentation to overturn insurance denials and accelerate cash flow. Expert in navigating major EMR systems and clearinghouses independently in high-volume, remote operational environments.

Account Manager/ Collections; Collection Specialist - Opus Inspection - India

(2026-06)

• Account Management & Portfolio Reconciliation: Manage B2B accounts receivable portfolios, tracking invoice statuses, analyzing payment balances, and executing end-to-end account reconciliations.
• Payment Recovery & Delinquency Resolution: Lead proactive outbound communications with corporate clients to resolve past-due accounts, negotiate payment arrangements, and streamline recovery cycles.
• Client Liaison & Dispute Mitigation: Address complex billing inquiries and transaction discrepancies, serving as a dedicated contact to facilitate timely resolutions while retaining positive client relationships.
• Ticketing & Data Integrity: Maintain real-time interaction logs, update internal tracking systems, and document recovery workflows to maintain ledger accuracy and support financial reporting.

AR Executive / MR Analyst Lead - Ambit Global Solution - Ahmedabad, India

(2025-08 - 2026-06)

• Accounts Receivable (AR) Executive Job Overview: The Accounts Receivable (AR) Executive is responsible for managing and resolving delayed, unpaid, or denied medical claims. This role plays a vital part in the Revenue Cycle Management (RCM) process by ensuring consistent cash flow and minimizing revenue loss for the healthcare facility or client. Key Responsibilities:
• Claim Follow-Up: Consistently follow up on submitted claims with insurance companies (via phone, web portals, or email) to track their status and ensure timely processing.
• Denial Management: Investigate, analyze, and resolve denied or underpaid claims. Prepare and submit necessary appeals with appropriate supporting documentation.
• Account Resolution: Identify trends in claim rejections and payment delays. Work with the medical coding and billing teams to correct errors and resubmit claims.
• Patient Communication: When necessary, communicate with patients regarding outstanding balances, co-pays, or deductibles, and assist in establishing payment plans.
• Reporting: Maintain precise records of all follow-up actions and update the billing software or Electronic Health Record (EHR) system. Generate daily/weekly aging reports.
• Strong understanding of medical billing, coding guidelines, and RCM processes.
• Familiarity with insurance guidelines, Medicare, Medicaid, and commercial payers.
• Excellent communication and negotiation skills.
• Strong analytical and problem-solving abilities to identify the root cause of claim denials.

MR Analyst Lead - Ambit Global Solution - Ahmedabad, India

(2025-08 - 2026-06)

• Medical Record Analyst Job Overview: The Medical Record Analyst is responsible for reviewing, organizing, and analyzing patient medical records to ensure accuracy, completeness, and compliance with healthcare regulations. This role acts as a bridge between clinical staff and administrative teams, ensuring that clinical documentation accurately reflects the patient's care. Key Responsibilities:
• Managed daily high-volume client communications, serving as the primary point of contact for complex financial inquiries regarding overpayments, underpayments, and billing discrepancies.
• Resolved complex payment disputes by auditing account histories over the phone, explaining complex financial adjustments clearly, and reducing client friction during sensitive financial conversations.
• Navigated the end-to-end appeals and reconsideration process, guiding clients through regulatory requirements, gathering necessary documentation over the call, and advocating for fair resolutions.
• De-escalated tense client interactions regarding billing errors with empathy and professionalism, maintaining a high satisfaction rate while ensuring compliance with company financial policies.
• Collaborated with backend billing and legal teams to expedite the reconsideration of denied claims or incorrect charges based on real-time feedback gathered during client calls.
• Record Auditing: Review patient charts and electronic medical records (EMRs) for missing information, inconsistencies, or errors in physician notes, lab results, and treatment plans.
• Compliance & Privacy: Ensure all medical documentation adheres to internal policies, state/federal regulations, and HIPAA guidelines for patient data privacy and security.
• Physician Querying: Communicate directly with healthcare providers and physicians to clarify diagnoses, treatments, or missing signatures, ensuring records are closed out completely.
• Data Management: Accurately abstract and input medical data into the healthcare facility’s database for billing, coding, and quality assurance purposes.
• Release of Information: Process and manage requests for medical records from patients, insurance companies, or legal entities in accordance with confidentiality laws.
• Proficiency in medical terminology, anatomy, and pharmacology.
• Experience working with Electronic Health Records (EHR) or Electronic Medical Records (EMR) systems.
• Exceptional attention to detail and organisational skills.
• Strong understanding of HIPAA and other healthcare compliance regulations.
• Worked on major over-payments and under payment and also in negotiations as well.

Process Associate (AR Calling) - iFedora - Medical Billing Company

Duration: 8 months. At iFedora, I worked as a Process Associate in the AR Calling (Accounts Receivable) department, where my primary responsibilities involved handling U.S. healthcare insurance claims. My main focus was on managing claim denials and ensuring timely and accurate resolution by submitting Level 1 (L1) appeals.

• Reviewed and analyzed denied medical claims to identify the root cause of denials.
• Initiated and submitted L1 appeals to insurance companies with appropriate documentation.
• Communicated effectively with insurance representatives to follow up on outstanding claims and appeals.
• Maintained detailed documentation of all calls, claim status, and appeal outcomes.
• Worked closely with internal teams to ensure proper coding, billing, and claim corrections when required.
• Consistently met daily and monthly productivity and quality targets in a high-pressure environment.
• Skills Gained: Deep understanding of U.S. healthcare billing systems, CPT codes, and insurance guidelines; Strong communication and negotiation skills with insurance companies; Accuracy in documentation and attention to detail in claims processing; Familiarity with medical billing software and claim management systems.

Bachelor of Pharmacy - Veerayatan Institute of Pharmacy, GTU (2019 - 2023)

HSC (12th) - Gandhi Public School, Morena, MP (2019 - 2019)

SSC (10th) - St. Xavier's School, Mundra-Kutch (2016 - 2016)