Priti Kitake

Detailed oriented senior medical billing executive with 5 + years of experience in US Health care insurance and life insurance. Specialized in end to end Revenue cycle management (RCM), including coding (ICD-10, CPT, HCPCS), charge posting and denial management to maximize reimbursement.

Senior Executive Billing - R - Systems International Limited - Pune, Maharashtra

(2025-04)

• Maintained compliance with HIPPA and regulatory standards while handling sensitive patient and financial data
• Managed and maintained Billing data using Microsoft office with high accuracy.
• Performed medical billing and scrubbing based on payer guidelines to ensure clean and accurate claim submission.
• Proficient in tools such as Microsoft Excel, Outlook, Rethink, Tebra for accurate and efficient claims management
• Utilizing Central Reach for billing operations and end to end claim submission
• Using Medicaid and commercial portals like EPACES, MCD, Appealio, Avility for Daniels and rejection resolutions
• Collaborate with internal teams and clients to resolve billing related queries during claim processing.
• Trained junior employees in task resulting in decrease in errors and improving productivity within the department
• As a senior executive, conduct operational audit with ensuring compliance with the company standard.

Associate Analyst-BPS - Tech Mahindra Ltd

(2022-06 - 2024-02)

• As a claim processor, processed an average 200 claims per day with 99% accuracy.
• Sorting the medical claim based on the categories of short term disability, long term disability, accidental claim,life and death claim.
• Uploading the documents in proper format with the correct customer name account to avoid HIPPA compliance.
• Maintained the TAT by consistently exceeded the productivity.
• Trained junior analysts, fostering a culture of continuous improvement
• Optimized workflows, enhancing team productivity.

Medical Billing Executive - Fedora Healthcare Solutions

(2019-05 - 2022-04)

• Processed insurance claims for cancer practices with more than 100 providers and large patient base.
• Performed medical billing and coding for cancer and Urology practices.
• Ensure accuracy in coding and Billing procedure
• Performed medical billing reconciliation task with accuracy.
• Adhere to HIPPA, Medicare and Medicare guidelines to ensure ethical billing practices
• Proficiency in ICD-10,CPT, and HCPCS codes, along with understanding medical terminology and Insurance guidelines.

Master in Pharmacy - Pharmacy - IPER College

B-Pharm - Pharmacy - IPER College

HSc - Mahatma Gandhi High school

SSC - New English High School