Krutik Dussa

About Krutik Dussa

Results-driven Claim Reimbursement Specialist with expertise in accounts receivable…

Experience

1. Sr Executive Ar

   Ascent Business Solutions

   Jan 2025 — Present · Nagpur, IN

   Senior Executive – Claim Reimbursement Department, specializing in US Healthcare AR operations from the provider’s side, with a focus on CMS-1500 Professional/Physician claims. Role centers on managing the complete end-to-end claim reimbursement process, with deep involvement in:• End-to-End AR Management: Overseeing the entire lifecycle of claims—from initial payer follow-up to final resolution—ensuring timely reimbursements and minimized AR days.• Appeal Creation and Submission: Preparing thorough appeals for denied or underpaid claims, attaching relevant medical records, justification letters, and supporting documents. Appeals submitted through payer portals, fax, and mail based on requirements.• Medical Records Handling: Skilled in retrieving, organizing, and reviewing medical documentation needed to support appeal cases and maintain compliance with payer rules.• Client-Escalated Claims: Managing high-priority, client-escalated claims with accuracy and urgency while maintaining professional communication with stakeholders.• Task Management and Communication: Maintaining follow-up notes, documentation, and claim status updates across platforms to ensure proper tracking and accountability.• Process Compliance: Ensuring that all reimbursement activities are compliant with HIPAA regulations and client-specific guidelines.This role integrates in-depth technical expertise in claims handling with a strategic approach to resolution, documentation, and client communication.

Education

• University of Mumbai

  Bachelor's degree

  2021 — 2024

• Maharastra State Board

  HSC

  2017 — 2020

• Board of Secondary Education, Telangana (BSET)

  SSC

  2014 — 2017