Kuljeet Katoch

I am a pharma graduate having more than 5 years of plus Experience in US based RCM healthcare in multiple domains.

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.

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)