Prathamesh Sonkar

Process Associate with experience in hospital and physician payment posting, seeking to enhance revenue cycle efficiency and ensure accurate claim settlement.

Revenue Cycle Management (Payment Posting Specialist) at IKS Health (2022-01 – 2024-12)

• Accurately posted payments, adjustments, and denials into practice management systems (Epic, Medent, DDA, CDDA, eClinicalWorks, or client-specific software).
• Reviewed EOBs (Explanation of Benefits) and ERA (Electronic Remittance Advice) for correctness and applied payments accordingly.
• Resolved posting discrepancies by coordinating with payers and internal teams.
• Ensured 100% compliance with client and HIPAA guidelines while handling sensitive patient payment data.
• Balanced daily deposit reports and maintained posting accuracy above 98–99%.
• Assisted in month-end reconciliation and reporting to support the revenue cycle management (RCM) team.
• Reduced posting errors and improved turnaround time by implementing quality checks.

Physician Payment Posting (Professional) at IKS Health (2022-01 – 2024-12)

• Posted payments for CMS-1500 (HCFA) claims for physicians and group practices.
• Applied insurance/patient payments to CPT-level charges with correct modifiers.
• Verified payer remittances, handled denials, and escalated underpaid or rejected claims.
• Posted patient co-pays, deductibles, and secondary insurance payments.
• Ensured accurate allocation of payments to individual providers and specialties.

Process Associate (Payment Posting) at TruBridge (2025-01 – Present)

• Accurately posted daily patient and insurance payments across multiple healthcare accounts, ensuring timely updates in the billing system.
• Verified payer information and cross-checked payment details against remittance advice to minimize posting errors.
• Handled denials, partial payments, and adjustments, escalating unresolved issues to the AR and denial management teams.
• Monitored unapplied/unposted cash and resolved discrepancies within defined turnaround times (TAT).
• Assisted in preparing daily and monthly cash posting reports for management review.
• Improved posting efficiency by adhering to SLA-driven productivity targets and quality benchmarks.
• Collaborated with team leads to streamline payment posting workflows, reducing backlogs and rework.
• Maintained strict adherence to HIPAA guidelines and client-specific compliance requirements.
• Performed daily payment posting in Thrive practice management system for hospital and physician accounts.
• Posted insurance and patient payments, adjustments, and denials into Thrive with 99% accuracy.
• Reviewed ERAs/EOBs and matched them against claims to ensure correct posting within the system.
• Balanced batches in Thrive, reconciled deposits, and generated posting completion reports.
• Handled unapplied cash, corrected posting errors, and escalated complex cases to the AR/denial team.

Hospital Payment Posting (Facility) at TruBridge (2025-01 – Present)

• Handled high-volume posting of inpatient & outpatient hospital payments.
• Processed UB-04 based claims, applying insurance and patient payments to multiple service lines.
• Managed large-dollar transactions and reconciled bulk payments from Medicare, Medicaid, and commercial payers.
• Posted contractual adjustments, co-insurance, deductibles, and write-offs as per payer rules.
• Balanced daily deposits with hospital finance reports and prepared reconciliation logs.

SSC – Hindi High School (2014)

HSC – Sidharth College of Commerce and Economics (2016)

B.com – Laxmi Chand golwala college of commerce and economics (2019)