

Results-driven AR professional with 5+ years of experience in accounts receivable, payer follow-up, denial management, and revenue cycle management (RCM). Skilled in CMS-1500, UB-04, and DME claim processing, appeals, and escalations. Adept at training and mentoring AR teams, improving operational efficiency, and reducing claim denials. Strong analytical, problem-solving, and communication skills with a focus on optimizing collections, AR aging, and overall revenue performance
✔ Managed complex accounts receivable by performing payer follow-ups, denial investigation, and claims resolution.
✔ Conducted detailed research on denied, rejected, and underpaid claims to ensure timely collections.
✔ Communicated with insurance payers to clarify coverage, adjudication, and payment status.
✔ Collaborated with Billing, Coding, QA, and Client teams to resolve discrepancies and prevent rejections.
✔ Escalated unresolved claims and coordinated with payers for appeals and reimbursement.
✔ Monitored AR aging, TAT, and FPR metrics, implementing strategies to improve collections and revenue cycle efficiency.
✔ Maintained accurate documentation of claim status, payer interactions, and follow-up actions.
✔ Served as SME for payer follow-up, denial resolution, and appeals in US RCM.
✔ Handled complex claims, escalations, and unresolved AR accounts.
✔ Collaborated with Billing, QA, Coding, and Client teams to resolve discrepancies.
✔ Improved TAT, AR aging metrics, and resolution efficiency through process support.
✔ Enhanced problem-solving, call handling, and communication skills while guiding team members.
✔ Managed complex payer follow-up, denial resolution, and appeals for multiple clients.
✔ Researched denied, rejected, and underpaid claims to drive timely resolution.
✔ Communicated with insurance payers to clarify coverage, adjudication, and payment status.
✔ Coordinated with Billing, Coding, QA, and Client teams to correct discrepancies.
✔ Improved collections, TAT, and AR aging metrics through effective follow-up and escalation.
Accounts Receivable (AR) Management & Payer Follow-up