Omkar Ganesh Pardeshi

About Omkar Ganesh Pardeshi

Detail-oriented Accounts Receivable (AR) Caller with 1 year of experience in healthcare revenue cycle operations. Proficient in managing high-volume inbound and outbound calls to patients and insurance providers, resolving billing discrepancies, and following up on outstanding claims to optimize cash flow. Demonstrates strong communication and negotiation skills, with a proven ability to achieve collection targets and maintain accurate documentation within AR systems. Committed to compliance with industry and HIPAA standards.

Experience

1. Junior Account Receivable and Caller

   Neweage Cloud Software Services Private Limited

   Jun 2024 — Present · Pune, IN

   Insurance Follow-UpContact insurance companies via phone or web portal to check claim status.Resolve denied, delayed, or underpaid claims.Claims ManagementAnalyze unpaid/underpaid claims and determine the reason for non-payment.Resubmit or escalate claims as needed.Work on aging reports to minimize accounts receivable days.Denial HandlingIdentify the cause of denial (e.g, coding errors, eligibility issues, missing documentation).Take corrective actions (appeals, reprocessing, or re-billing).Documentation & ReportingDocument all actions taken in the billing system (e.g, follow-up details, reference numbers).Update notes and maintain claim status.Insurance Eligibility & VerificationVerify patient insurance coverage when required.Ensure payer-specific rules and policy requirements are met.Communication & CoordinationCommunicate effectively with the team and supervisors.Coordinate with coders or billing departments for claim correction.Performance Metrics MonitoringMeet daily/weekly productivity targets (e.g, number of calls, resolution rate).Maintain quality standards and compliance with HIPAA guidelines.Knowledge of US Healthcare RCMUnderstand EOBs (Explanation of Benefits), denials, CPT, ICD-10, and HCPCS codes.Familiarity with various insurance carriers (Medicare, Medicaid, Commercial).

Education

• Dr.Devendra amrutlal ohara junior College

  Science Student

  2016 — 2018

• Abhinav Education Society's College of Pharmacy

  D.pharm

  2020 — 2022