AR Specialist plays a crucial role in managing the financial state of Healthcare organizations. Expertise in accurate billing, timely reimbursements, and effective account receivable management.
Overview
5
5
years of professional experience
Work History
Senior Executive
Pacific - An AccessHealthcare Company
Noida
01.2022 - Current
Conducted research on customer accounts as needed to answer inquiries or resolve issues related to payments received or owed.
Contributed innovative ideas and solutions to enhance team performance and outcomes.
Follow up on claim rejections and denials to ensure appropriate reimbursement by searching insurance websites, customer services, emails, and correspondence.
Handle appeals using established guidelines to resolve claim denial, with a goal of one-contact resolution.
Identified and resolved denied, non-paid, non-adjudicated claims, billing issues due to coverage issue, medical records request, and authorization.
Meet productivity standards and monthly goals, as set by the department.
Data Analyst
Rubixis Technologies Private Limited
07.2019 - 07.2021
Identified and reconciled differences between internal records and bank statements.
Researched and resolved claims regarding account balances and payments.
Investigated customer payment histories, account activities, and other related information.
Performed research on past due accounts to determine appropriate action plan.
Pinpointed overpaid claims resulting from issues like insurance inaccuracies, patient errors, or variances in billed charges and rectified as per client specifications.
Education
Some College (No Degree) - Computer Engineering
South Point College
Sonipat, Haryana
Skills
Revenue Generation
Claims Management
Accounts Receivable Follow-Up
Personal Assessment
Adaptable Learner
Inventory Analysis Skills
Accomplishments
Received Employee of the month honor.
Received appreciation for maintaining 100 percent quality.