Headline

Healthcare Billing & Revenue Cycle Analyst | Denial Management | Power BI Dashboards | CMS-1500 | VA CCN

About

Bad billing costs healthcare companies millions. I help make sure that doesn't happen. I'm a Billing Specialist with a Finance degree from Temple University. At 365 Health Services, I process $3M+ in weekly invoices, submit VA claims, and work directly with insurance companies to recover payments that get denied. I keep billing accurate, compliant, and moving. When something goes wrong — a denied claim, a billing error, a messy audit — I find out why and fix it at the source, not just patch it. I also built a Power BI dashboard that helped our team spot slowdowns faster, and wrote 30+ process guides so the right way to do things is documented and repeatable. My strengths: billing, claims processing, denial management, A/R, Excel, Power BI, and making complicated processes easier to manage. I'm looking for a billing specialist or revenue cycle role where I can keep growing and bring real value from day one. Want to connect or have a role in mind? Reach me at patelvasu187@gmail.com or (215) 934-9733.

Location

Levittown

Work experience

Billing Specialist at 365 Health Services, Mar 2025 - Present · 1 yr 3 mos, Bala-Cynwyd, PA, – Processed and reconciled $3M+ in weekly invoices with 98%+ accuracy; reduced billing errors by 30% through enhanced audit workflows, data validation, and process improvements. – Managed end-to-end VA CCN billing ($20K+ weekly), preparing and submitting CMS-1500 claims via Waystar and VA XPressClaim; ensured compliance with NPI/TIN, diagnosis codes, referrals, and regulatory requirements. – Performed root-cause analysis on payer denials for major insurers (Health Partners, PA Health & Wellness); resolved discrepancies, reprocessed claims, and recovered unpaid revenue through direct payer collaboration and financial reconciliation. – Partnered with Finance team to strengthen billing controls, improve financial reporting accuracy, and minimize audit risks and issues. – Developed a Power BI dashboard to track invoice processing cycle times and identify bottlenecks, increasing efficiency by 20%. – Collaborated with the finance department to redesign internal controls, reducing audit discrepancies and improving financial transparency. – Analyzed payment patterns, A/R aging reports, flagged high-risk accounts, and provided executive-level summaries that accelerated collections and dispute resolution. – Led a documentation overhaul project, producing 30+ SOPs and knowledge-share resources for new billing software integration. – Lead monthly eligibility and coverage verification for 100+ high-volume clients, preventing claim denials and enhancing payer compliance.

Data Entry Operator at Sunshine Homecare LLC, Dec 2019 - Feb 2025 · 5 yrs 3 mos, Bristol, PA, – Ensured continued team collaboration to supervise client records, organize time-sensitive administrative tasks, and solve emerging problems while balancing heavy workloads. – Cut required work hours after streamlining processing and schedule communication for stakeholders. – Designated as the primary liaison for client/employee inquiries due to in-depth service knowledge and excellent interpersonal skills, including handling all escalated needs. – Developed accurate Excel spreadsheets and coached other employees on all aspects of Excel. – Boosted positive patient survey scores by 25% after formalizing communication with insurance companies to ensure proper billing, including recommending new software for managing information sharing.

Crew Member at Dunkin Donuts, May 2019 - Aug 2019 · 4 mos, – Maintained top-tier customer service in order handling, food preparation, and payment processing. Enabled an increase in upselling using a strong understanding of food and specialty offerings. – Directed and mentored a team of 3-4 who went on to receive multiple accolades and incentive awards.

Education

Bachelor of Business Administration, Finance, Finance, General, Fox School of Business at Temple University

High School Diploma, Finance, General, Pennsbury High School