Neetu Sharma

● Reviewing Explanation of Benefits (EOB) and Electronic Remittance Advice (ERA) statements to determine the exact root cause of insurance denials.
● Worked with major U.S. healthcare payers including Optum, Aetna, Cigna, and Blue Cross Blue Shield to design and deliver healthcare technology solutions that improved operational efficiency and member experience.
● Investigated and followed up on outstanding claims aged 90+ days via payer websites and direct payer communication, reducing AR backlog and improving cash flow.
● Verify that adjudicated claims align with the negotiated terms of the specific insurance payer and state fee guidelines.
● Worked closely with front-desk staff, nurses, and physicians to ensure accurate patient eligibility verification, prior authorization processing, and standardized clinical documentation.
● Experienced in handling claim denials, prior authorizations, eligibility verification, and accounts receivable follow-up with U.S leading Payer.

• • Worked in anesthesia billing processes across multiple clients and locations.
  • Handled high-priority insurance claims pending for more than 90 days.
  • Processed appeals through online procedures and insurance calls to secure payments.
  • Performed denial analysis and claim resolution to maximize reimbursement.
  • Coordinated with insurance representatives to resolve claim discrepancies efficiently.

• Prospecting & Lead Generation Actively seek out new sales opportunities through cold calling, email outreach, networking, and social media platforms.
• Collaborated cross-functionally with Marketing and Product to refine campaigns and align product messaging.
• Recognized as a Top Performer for exceeding quotas for 6 consecutive quarters.
• Negotiated contracts and pricing to maximize profitability while meeting customer requirements .
• Delivered compelling product demos and executive-level presentations, resulting in accelerated sales cycles.
• Build and maintain trust with existing clients to encourage repeat business and identify opportunities for upselling or cross-selling .
• Familiarity with customer relationship management (CRM) tools (such as Salesforce, HubSpot, or Zoho) to track leads and client interactions.
• Total sales volume closed against assigned monthly, quarterly, or annual quotas.

• Managed financial processes related to DC 401(k) and US retirement benefits.
• Processed Defined Contribution (401k) plans and participant transactions.
• Processed rollovers, withdrawals, loans, lump sum payments, and participant checks.
• Planned and monitored daily workflow and assigned tasks to advisors.
• Trained and guided new joiners to achieve operational goals.
• Conducted quality checks and peer reviews for demographic processes.
• Ensured operational efficiency and optimal daily capacity utilization.