Pradeep Karthikeyan

I am a detail-oriented professional with expertise in payment posting for US healthcare processes. With a solid understanding of medical billing and coding, I efficiently manage the accurate posting of payments from insurance companies and patients. My responsibilities include reconciling payment discrepancies, resolving denials, and ensuring strict compliance with billing regulations.

I have a strong grasp of healthcare payment systems and follow structured processes to maintain accuracy and consistency in billing tasks. Even without software tools, I handle payment data efficiently through manual methods and clear documentation. My focus is on supporting the financial operations of healthcare organizations and contributing to a smooth and accurate revenue cycle, ultimately aiding in the delivery of quality patient care.

Senior Data Process Associate at Fornax Private Limited (2021-03 – 2024-03)

• Handled end-to-end payment posting for US healthcare clients with accuracy and attention to detail.
• Posted payments from insurance companies (EOB) and patients manually with proper documentation.
• Reconciled daily payment logs and identified payment discrepancies or short payments.
• Managed denial follow-ups and coordinated with the team to ensure resolution of underpaid or denied claims.
• Maintained compliance with US healthcare billing and HIPAA guidelines.
• Prepared and updated reports regularly to support the revenue cycle process.
• Ensured timely and error-free posting to support month-end closing activities.
• Collaborate with the team to resolve posting discrepancies and payment issues.
• ERA & manuel EOB posting and EOB generation.
• Overpayment &refund handling.

Bachelor of Commerce in Commerce – Rathinavel Subramaniam Collage of Arts & Science (2021)