Pradeepa G

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.

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

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)