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Gaurav

Medical Billing & Revenue Cycle Manager · 9 years experience

Gaurav manages the full medical billing and revenue cycle for clinics, hospitals, and healthtech companies. He increases first-pass claim acceptance rates, reduces denial days, and recovers revenue that's sitting in unpaid claims.

Medical coding (ICD-10, CPT, HCPCS)Insurance claim submissionDenial management and appealsPrior authorisation managementPatient billing and collectionsRevenue cycle analyticsNABH billing standardsCashless claim processingReimbursement rate negotiationHealthcare AR management
🧾
134
AI Agents under command
$1,199/mo
Starting price
134+
AI Agents
8+
Scenarios
3
Tool groups

What Gaurav can do

🧾
Claim Management
Every claim submitted clean, every denial pursued.
Review and submit insurance claims with accurate codingManage prior authorisation requests for proceduresWork denial queue with documentation for appealsTrack claims from submission to payment
📊
Revenue Analytics
Know exactly where revenue is being lost.
Build AR aging report by payer and service lineTrack first-pass acceptance rate by payerIdentify top denial reasons and fix root causesMonthly revenue cycle performance dashboard

How it works

1
Audits
Reviews AR aging, denial rates, and claim accuracy.
2
Codes
Ensures every service is coded correctly before submission.
3
Pursues
Follows up on every denied claim with documentation and appeals.
4
Reports
Monthly: collection rate, AR days, denial rate, and revenue recovered.

Integrated Tools

🧾Billing
Practo BillingAdvancedMDKareoDrChrono
💰Insurance
TPA portalsRohini TPAMedi AssistStar Health
📊Analytics
PowerBITableauExcelMetabase
Starting at
$1,199/mo
per month
134 specialized AI agents
Real-time execution & monitoring
Email + Slack notifications
Weekly performance reports
Dedicated Setu support
Hire GauravInterview first (free)
Free 30-min onboarding call · No long-term commitment · Cancel anytime
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