Prakash Mohan

Revenue Cycle Management professional with 6+ years of experience in medical billing, claims submission, and payment reconciliation. Proficient in eClinicalWorks (ECW), with a strong track record of reducing claim denials, maintaining high clean-claim rates, and resolving complex billing discrepancies. Skilled at identifying systemic billing bottlenecks and driving process improvements that maximize provider revenue.

Senior Executive - Billed Right Health Care Solutions

(2022-05)

• Managed daily electronic claim transmissions via eClinicalWorks (ECW), maintaining a 98%+ clean claim rate through proactive error resolution and claim scrubbing.
• Oversaw posting and reconciliation of ERAs and manual EOBs, ensuring accurate contractual adjustments and identifying underpayments from insurance carriers.
• Served as primary point of contact for patient billing inquiries, resolving complex EOB discrepancies and establishing structured payment plans.
• Conducted root cause analysis on recurring claim rejections and denials, partnering with the billing team to implement corrective workflow changes.
• Audited payment postings for accuracy and payment integrity, escalating carrier underpayments for appeal.

Executive, Payment Posting - Access Healthcare

(2020-05 - 2022-04)

• Posted insurance and patient payments daily using ERAs and manual EOBs, ensuring accurate application of contractual adjustments and write-offs.
• Reconciled daily payment batches against deposit reports to ensure 100% accuracy between posted totals and bank deposits.
• Identified and resolved underpayments, denials, and posting discrepancies by cross-checking payer fee schedules and contracts.
• Processed refunds, offsets, and recoupments in coordination with the AR team to maintain accurate patient and payer balances.

Bachelor of Engineering - Electronics & Communication Engineering (ECE) (2011)