Vikrant Singh Yadav Email & Phone Number

Gurugram, Hr, In

Noida, Uttar Pradesh, India

Key responsibilities:Client/LOB working on Employer & individual (E&I) provider Appeals-Identified fraud, waste, and error between medical records and billed services for complex and high value claims by identifying Up-coding, Unbundling, Duplication, and Misrepresentation of services. Ensured accurate claims processing and adherence to industry standards.Reviewed claims, identifying provider behavior patterns and maintaining ethical claims processing standards by utilizing medical expertise, knowledge of CPT. HCPS, diagnosis codes, CMS guidelines along with referring to client specific guidelines and member policies.Developed expertise in the U.S healthcare claim revenue cycle, specializing in outpatient, inpatient, and ED claims. Managed diverse roles, enhancing team efficiency through inventory allocation, mentoring, and internal audits.

Amritsar, Punjab, India

Key responsibilities:• Demonstrated exceptional dedication and work ethic in all clinical departments, maintaining an impressive 90% attendance record. Developed expertise in frequently performed clinical procedures, showcasing a commitment to excellence and continuous learning.• Proficiently performed a wide range of dental procedures, including extractions, restorations, prosthesis fittings, flap surgeries assistance, implant procedures, and 3rd molar surgeries. Executed these tasks with confidence and precision, highlighting surgical skills and technical proficiency.