Pragati Srivastava
Noida
Summary
Experienced Analyst in Background Verification (BGV) and healthcare accounts receivable (AR) management. Previously worked at KPMG as a BGV Analyst, ensuring compliance and accuracy in employee background checks. Currently working at R1RCM as an AR Analyst, managing claim processing, denial resolution, while optimizing collections and reducing outstanding balances. Skilled in AR trend analysis, insurance follow-ups. Seeking growth opportunities in finance, healthcare industries.
Overview
3
3
years of professional experience
1
1
Certification
Work History
Analyst
R1RCM
Noida
12.2024 - Current
- Denial Management & Claim Resolution - Manage denial management and resolve claim rejections to maximize revenue.
- Healthcare Billing & Compliance - Process and bill healthcare claims while ensuring compliance.
- Denied Claims Investigation & Appeals - Investigate and appeal denied claims to improve cash flow.
- Payment Posting & Account Reconciliation - Post payments and reconcile accounts for accurate revenue tracking.
- Billing Discrepancy Resolution - Coordinate with insurers and internal teams to resolve billing discrepancies.
- Use of Ascension Host & Healthcare Portals - Use Ascension Host and healthcare portals to track claim status.
- Accounts Receivable Reporting & Analysis - Analyze AR reports to identify trends and improve processes.
- Compliance with HIPAA & CMS Regulations - Ensure compliance with HIPAA, CMS, and healthcare regulations.
Analyst
KPMG
Noida
06.2022 - 09.2023
- With one year experience working as an Analyst wherein performing background verification for candidates joining in multiple IT or Financial firms
- Conducting Video KYC with the valid documents
- Maintain tracker and master logs on real time basis
- Monitor progress and ensure that supervisors are kept informed about progress and expected outcomes
- Conducting Video KYC of candidates as per client requirement
- Dealing and Handling onboarding of batch
- Responsibly fulfilling all the requirements before onboarding of candidates
- Conduct verification of stated credentials given by clients (The checks include address, criminal, education, employment and reference)
- Perform on business-specific KPIs of productivity and quality targets
- Capturing all valid details and forwarding after closures to our dedicated report writing team for final outcomes
- Worked with senior leadership to develop and also implementing new tactics to improve new knowledge with respect to process changes
- Skills: Communication skills, Documentation review, Time management, Microsoft excel, Leadership, Customer service, Curious & Responsible, Dedicated to work
Education
BBA - Bachelor of Business Administration
Babu Banarasi Das University
Lucknow, Uttar Pradesh07.2021
Skills
- Revenue Cycle Management (RCM)
- Accounts Receivable ( AR management)
- Claim Processing & Adjudication
- Insurance Follow-up & Appeals
- Healthcare Portals (Ascension Host, etc)
- EOB Analysis
- Microsoft excel
- Communication & Negotiation
- Time management & Multitasking
- Analytical & Problem-Solving
- Curious & Responsible
- Dedicated to work
Certification
Cybersecurity Awareness: Phishing Attacks
Projects
Consumer satisfaction towards Research Report on SWIGGY. Consumer satisfaction towards XIAOMI PHONES.
Languages
- English
- Hindi
Timeline
Analyst
R1RCM
12.2024 - Current
Analyst
KPMG
06.2022 - 09.2023
BBA - Bachelor of Business Administration
Babu Banarasi Das University