ANTHONY WILSON MARTIN
SENIOR AR ASSOCIATE
Summary
As experienced professional in healthcare industry, brings wealth of expertise in navigating complex denial management systems. Recognized for strong focus on teamwork and delivering consistent results under shifting circumstances. Proficient in claim analysis and resolution, with excellent problem-solving abilities and reliable, adaptable nature.
Overview
3
3
Languages
2027
2027
years of professional experience
Work History
Denials Specialist
Ventra Health
2025 - Current
- Analyzed denial trends to identify root causes and improve appeal strategies.
- Collaborated with healthcare providers to resolve billing discrepancies and enhance claims accuracy.
- Reviewed complex claim denials and formulated effective responses for timely resolution.
- Educated staff on denial management processes to foster a culture of compliance and accuracy.
- Developed training materials to streamline workflows for new hires in denial processing.
Senior AR Associate
CASCADE
01.2023 - 01.2025
- Worked on Physician billing and Hospital billing almost worked END to END process.
- Finding trends on ATB report also giving KT to freshers and completed OJT graduation.
Senior AR Caller
CALPION
01.2022 - 01.2023
- Effective communication and negotiation skills for interacting with clients and internal teams.
- Created almost 50+ web portals and reduced $45,000 reduced in short term by finding trends and solution.
AR Caller
RND SOFTECH
01.2019 - 01.2022
- Initially Learned about denials and RCM Cycle management.
- Started to Achieve number on daily bases without fail and Sharing data within the TAT set by management or leads.
- Worked on maximum number portals for DME Billing.
Education
Bachelors - Computer Applications
BHARATHIYAR UNIVERSITY
01-2018
Skills
Denial Management
Claims Processing
Critical Thinking
Revenue Generation
Time Management
Teamwork
Effective Communication
Leadership
SOFTWARE
- AS400
- Brightree
- CMD
- Cerner
- ECW
- AMD
- Pathflow
SPECIALTY WORKED
- DME
- Mental Health
- Lab Services
- Emergency Services
- Worked on both Hospital and physician billing
Timeline
Senior AR Associate
CASCADE
01.2023 - 01.2025
Senior AR Caller
CALPION
01.2022 - 01.2023
AR Caller
RND SOFTECH
01.2019 - 01.2022
Bachelors - Computer Applications
BHARATHIYAR UNIVERSITY
Denials Specialist
Ventra Health
2025 - Current