Sukhbinder Singh
Claims Resolution Specialist
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About
Detail-oriented Medical Billing Representative with 5 years of experience managing end-to-end revenue cycles for multi-specialty clinics. Expert in denial management and insurance verification, with a track record of reducing A/R days. Proficient in Allscripts and Cerner application, dedicated to maximizing reimbursements while providing excellent patient billing support
Experience
Claims resolution specialist - Transworld systems incorporated - Bengaluru, india
(2025-09)
- Denial Management & Investigation
- AR Follow-up
- Claim Correction & Resubmission
- Real-Time Documentation
- Payer Follow-up
Provider Reimbursement Specialist - Logix HealthCare - Bengaluru, india
(2022-07 - 2025-08)
- Enhanced provider satisfaction by efficiently addressing and resolving claims related inquiries.
- Have knowledge on MVA/Workers compensation related claims and also worked on all types of claims denial and resolved it in an effective way.
- Processed insurance claims for all federal and private insurance companies like (Medicare, Medicaid, Champva, Bcbs, UHC, Tricare.. etc) for accuracy and compliance with company policies.
- Obtained Authorization for the claims from the insurance which were denied for no Auth on file.
- Maintained confidential patient, employee and company information in compliance with company policies and regulatory requirements.
- Ensured compliance with HIPAA regulations when handling sensitive patient information, protecting client privacy at all times.
- Expanded knowledge on medical terminology and insurance policies through continuous learning initiatives, enhancing accuracy in communication with clients.
- Identified and resolved discrepancies and errors in medical claims.
- Specialist in handling denial, posting denial and resolving the claims towards payment.
- Reviewed patient accounts to identify reimbursement discrepancies and resolve issues.
- Utilized billing software to track and manage outstanding claims efficiently.
- Communicated with healthcare providers regarding claim status and necessary documentation.
- Maintained organized records of claims submissions and follow-up communications.
AR ASSOCIATE - Omega Healthcare - Bengaluru, india
(2021-04 - 2022-06)
- Handling calls and claims on behalf of provider and resolving the issues.
- Identifed issues, analysed information and provided solutions to problems.
- Resolved complex billing issues in a timely manner.
- Maintained accurate records of customer account information including contact information, payment history, outstanding invoices.
- Developed and implemented billing procedures to ensure accurate and timely payment of claims.
Education
Bachelor Of Commerce - Accounting And Finance - Karim city college (2017 - 2020)
Diploma in aviation and hospitality - Frankfinn institute of air hostess training (2015 - 2016)
PUC - Economics, Commerce, Business Management, Accounts - St Mary's school (2013 - 2015)