Hardik Shukla
Medical Billing & Customer Service Professional
About
Results-oriented Medical Billing & Customer Service professional with over 15 years of experience in healthcare revenue cycle management. Skilled in insurance eligibility verification, pre-authorization, claims processing, and patient account management for US-based healthcare clients. Adept at communicating with insurance companies via voice and non-voice channels to resolve billing issues.
Experience
Sr. Customer Service Executive – Calling Process - Groh High Medical Billing
(2023-05 - 2025-07)
- Handled voice and non-voice calling process for US medical billing operations.
- Verified patient records including previous visit details, diagnosis, CPT codes, patient biography, and payment mode.
- Coordinated with insurance companies via phone to clarify billing and claim information.
Sr. Customer Service Executive – Calling Process - Medvantis Billing Solution
(2021-10 - 2022-10)
- Managed voice and non-voice medical billing inquiries for US healthcare providers.
- Reviewed patient records, diagnosis details, CPT codes, and payment modes with insurance companies.
- Ensured accurate and timely resolution of claims by coordinating with insurance representatives.
Customer Service Executive – Medical Eligibility & Authorization - Taskflow Answer Pvt. Ltd.
(2019-01 - 2021-08)
- Verified medical eligibility through calls, online portals, fax, and primary/secondary insurance checks.
- Obtained Pre-Authorization Numbers and PCP Referrals for patients requiring specialist care.
- Notified clients promptly about coverage issues or authorization requirements.
Sr. Customer Service Executive – Medical & Dental Billing - Healthcare Informatic Pvt. Ltd.
(2014-11 - 2018-11)
- Checked medical and dental eligibility through calls, web portals, fax, and primary/secondary insurance verification.
- Obtained Pre-Authorization Numbers, PCP Referrals, and resolved coverage and authorization issues.
- Handled both voice and non-voice processes for US clients.
Customer Service Executive – Calling Process - Dentaweb India Pvt. Ltd.
(2009-09 - 2014-05)
- Verified patient eligibility for upcoming appointments by reviewing previous visit records, diagnosis, CPT codes, and payment modes.
- Conducted web research and phone calls to insurance companies to confirm patient eligibility status.
Education
Master of Information Technology - Information Technology - Sridhar University, Rajasthan, India (2010)
Bachelor of Commerce - Accountancy - Sridhar University, Rajasthan, India
