Subodh S.
Junior Medical Billing Specialist
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Subodh D. is a seasoned Medical Billing & AR Specialist with targeted expertise in supporting US healthcare claims within a healthcare BPO environment. Based in Pune, India, he brings a keen eye for detail and a robust understanding of denial management and AR follow-up, driving efficiency in revenue cycle management. Currently serving as a Medical Billing Executive at Suma Soft Pvt Ltd, Subodh manages end-to-end claims review, ensuring billing accuracy and coding compliance to reduce denials. His proactive approach to insurance eligibility verification and structured follow-up on denied claims shortens resubmission cycles and maintains accuracy in HIPAA-compliant billing documentation. With a solid educational background in pharmacy, enhanced by certifications in clinical research and pharmacovigilance, Subodh skillfully navigates the intersection of billing, coding, and clinical operations, leveraging his analytical skills and industry certifications to deliver comprehensive solutions in complex environments.
Experience
Medical Billing Executive
Suma Soft Pvt Ltd · 2025 — PresentConduct thorough claim reviews to ensure billing accuracy and coding compliance before submitting to insurance, minimizing future denials. Verify insurance eligibility and follow up on denied or rejected claims to expedite resubmission processes through direct AR calling and denial resolution efforts. Ensure billing documentation is precise and adheres to HIPAA standards aligned with US regulations. Prepare AR and billing status reports in Excel for insights into revenue cycles and denial trends. Collaborate with billing, coding, and clinical teams to address claim discrepancies efficiently.Data Analyst – Pharmacovigilance
Cognizant Technology Solutions · 2024 — 2024Handled the processing of ICSRs in accordance with SOP and global regulatory standards, demonstrating strong adherence to process discipline in line with productivity and quality metrics typical of AR call environments. Evaluated adverse event data and safety information for correctness and regulatory compliance. Assisted in managing complaints and maintaining documentation to ensure readiness for audits, which is applicable to compliance and payer audit requirements.
Skills & Expertise
Education
- Bachelor of Pharmacy (B.Pharm)R.D. Bhakt College of Pharmacy · — — 2023
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