Amit sharma
Accounts Receivable Follow up
Delhi
Summary
Accomplished Senior Associate with a proven track record at R1 RCM GLOBAL PVT LTD, specializing in billing code expertise and claim resolution. Demonstrated leadership in team supervision and training, , consistently achieving high-quality standards in claim processing and appeals.
Overview
6
6
years of professional experience
2
2
Languages
Work History
Senior Associate Follow up
R1 RCM GLOBAL PVT LTD
GURUGRAM
09.2022 - Current
- Review the claims allocated and check status by calling the payer or through IVR\Web portal
- The Knowledge of billing codes including CPT , Revenue Code ,Modifier CCI edits
- Prepare formal Appeals for the incorrect denials for the insurance to process and get paid
- Prioritize unpaid claims for calling according to the length of time it has been outstanding
- Transfer the outstanding balance to the patient of he \she doesn't have adequate insurance coverage
- make corrections to the claims based on inputs from the insurance company
Senior Associate
SAVISTA GLOBAL SOLUTIONS PVT LTD
Noida, India
03.2021 - 06.2022
- Review the clams allocate and check status by calling , via web or email to received more payment and claims solitons
- Knowledge of billing codes , modifier , CPT , revenue codes for claims denial
- Prepare appeal and review claims of incorrect denial for reprocess claim
- resolve denial and claims under timely limit as per standard resolve
- prepare new updates and ways who help to resolve claims and more payment received
Associate Analyst
EXL SERVICE INDIA PVT LTD
Noida, India
03.2019 - 01.2021
- Verify the details of member and benefits and precertification details
- Check and work for pre certifications ,void cases and work as per cpt and Dx codes and drugs
- Check member benefits with help and coordinate with pharmacy teams
- updates on workflow in weekly meeting and quality teams for resolve pre-certifications claims for better production resolve claims along with quality standards
Education
B.COM - Accounting
SCHOOL OF OPEN LEARNING
Delhi, India 04.2001 -
High School Diploma -
Govt Boys Sen Sec School NO .1 Shakti Nagar
New Delhi, India 04.2001 -
Skills
Team leadership
Performance monitoring
Team supervision
Training and mentoring
Inventory control
Problem-solving
Timeline
Senior Associate Follow up
R1 RCM GLOBAL PVT LTD
09.2022 - Current
Senior Associate
SAVISTA GLOBAL SOLUTIONS PVT LTD
03.2021 - 06.2022
Associate Analyst
EXL SERVICE INDIA PVT LTD
03.2019 - 01.2021
B.COM - Accounting
SCHOOL OF OPEN LEARNING
04.2001 -
High School Diploma -
Govt Boys Sen Sec School NO .1 Shakti Nagar
04.2001 -