Pradeepa G
Senior Account Receivables Specialist
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About
Medical Billing and Accounts Receivable professional with 5.2 years of experience in U.S. healthcare revenue cycle management, specializing in claim follow-up, denial management, payment posting coordination, prior authorization, insurance verification, account auditing, and client communication. Experienced with Allscripts and eCW, payer portals, CMS-1500 claims, EOB review, timely filing, eligibility issues, authorization and referral denials, and out-of-network claims. Strong analytical, problem-solving, quality auditing, and client-facing communication skills.
Experience
Senior Account Receivables Specialist at Exprimunt Medical Billing Pvt Ltd (2021-04 – 2026-06)
- Managed end-to-end Accounts Receivable processes, including claims follow-up and denial management
- Reviewed and resolved rejected claims on a daily basis to maximize claim reimbursement and reduce outstanding Accounts Receivable
- Contacted patients regarding claim payments for out-of-network providers and collected insurance information and request to update COB information
- Claims submission and reimbursement optimization
- Insurance follow-ups, verification, and out-of-network patient billing coordination
- Prior authorization processing (Urology specialty)
- Generated weekly and monthly reports and shared them with the client manager
- Handled client calls and email communication to resolve billing queries
- Team training, weekly feedback sessions, and leadership
- Responsible for auditing the daily worked accounts to ensure it is worked correctly
Education
Bachelor of Business Management in BBM – Government First Grade College, Ripponpet (2014)
Pre-University in P U Board – Ripponpet (2010)
High School in G.H.S. – Arasalu (2008)
