Kuldeep Kumar

About Kuldeep Kumar

Working exclusively in the US healthcare industry since 2015. Highly experienced in handling end to end RCM process like seeking eligibility and authorization from the payers, charge entry, reconciling insurance and patient payments and resolving account disputes. Proficient in a variety of practice management software applications. Dedicated to maintaining strict patient confidentiality. Complete knowledge of end to end RCM process: Patient scheduling, Demographics Entry, Insurance verification and Prior Authorizations. Charge Entry: Ensure claims are entered and submitted within 48 hours of receipt. Ensure accuracy of insurance claims. Insure office practices comply with HIPPA regulations. Payment Posting: Independently evaluate explanation of payments for patient accounts and understand correspondence based on knowledge of policy and personal discretion. Knowledge of processing EOB/ERA, Ins/Pt credit card payments, unapplied payments, collection agency and capitation payments. Post and reconcile insurance and patient payments and worked on Insurance/Patient refunds as well. Research and resolve incorrect payments, EOB rejections, and other issues with outstanding accounts. Retrieve Electronic Remittance Advice (ERAs). Account Receivable: Working on AR and doing follow up of AR doubts by making calls to the insurance companies. Working on Queries received from patients and Insurance companies. Working and Resolving EDI rejections.

Experience

1. Team Lead

   Mhbs Rcm

   Sep 2022 — Present · Mohali, IN

Education

• Indira Gandhi National Open University

  Bachelor of Arts - BA