Kuljeet Katoch
An enthusiastic experienced with highly motivated and leadership skills having bachelors of pharmaceutical science (B. Pharmacy)
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About
I am a pharma graduate having more than 5 years of plus Experience in US based RCM healthcare in multiple domains.
Experience
SME Account Receivable at IDS Infotech Ltd. (2025-01 – Present)
- Patient Registration & Insurance Verification
- Colleting accurate patient demographics
- Verifying Insurance eligibility and Coverage
- Understanding coordination of benefits (COB)
- Pre-authorization & referral management
Authorization Specialist at Pacific an Access Healthcare Company (2024-03 – 2024-10)
Worked with multiple specialty like Dermatology, Ophthalmology, General surgeries, Pain management, Vein Treatment etc.
- Collecting necessary documentations, prior authorization for processing testing completing and identifying accurately prior and retro authorization requests to the payors
- Verifying insurance eligibility
- Coordinating and supplying information to the review organization
- Determining inpatient Medicare coverage
Resolution Specialist at Unify Health Care Services (2023-10 – 2024-02)
- DME intake including patient Access Services (Scheduling & Registration, Insurance Eligibility & Benefits verification, Prior Authorizations)
- Mid-cycle services (medical records coding, chart audit, charge capture, clinical documentation, improvement)
- Handling of ICD-10, CPT codes, modifiers, HCPCS
- Charges entry, payment posting, credentialing, confirmation
- Quality audit of pre-shipment and post-shipment of claims
- Handling of around 25-30 DME products & supplies
Subject Matter Expert at KNACK GLOBAL PVT.LTD (2020-03 – 2023-07)
End to End Medical billing experience.
- Patient registration and Insurance verification
- Charge Entry
- Claims submission
- Payment posting
- Account Receivable (AR) Follow-Up
- Denial Management
- Patient Billing and collection
- Compliance and Documentation
- Reporting and Analytics
Apprentice at Sentiss Pharmaceutical Pvt. Ltd. (2016 – 2017)
One year experience as an apprentice in quality control department.
Education
B. Pharmacy in Pharmaceutical Science – Govt. College of Pharmacy Rohru (2015-07)
HSC in Non-Medical – HPBOSE Dharamshala (2011-03)
SSC – HPBOSE Dharamshala (2008-12)
Diploma in Information Technology (2016-06)
