Rahul Sharma

• Facilitated collaboration between cross-functional teams to ensure successful completion of project milestones.
• Cash posting started with 5 clients indulging 2 FTEs and didn't lost any clients beacuse of escalations.
• Managing the process of Cash Posting, Credit Balances & Charge Posting.
• Utilizing 19 FTEs to manage the process. working on 85 clients to collect $9.00M average.
• Managing 2 direct clients since 2019. Which is very valuable and collected average $800k every Month.
• Dailiy Huddle to update the Team
• SOP & PPTs Creation
• Daily Touch Base call with Company's Sr. VP, Leader ship Team, Direct client & US Account Managers
• Proficient in prepare following reports:

As a Sr. Claim Associate at Emds (Formerly Known as CGM ARIA), As a Team player in processing healthcare claims and implemented efficient collection strategies. I demonstrated strong team bonding in managing workloads and achieving SLA deliverables.

• Promoted as EDI analyst after 1.5 years after going through the IJP process.
• Worked on Trizetto rejection and set up along with the charges & Payment Team to prevent the rejections

• Investigated of Denial reason with the denial Code mentioned on the EOB and payment posting.
• Worked as a claim management executive for payment posting and denial posting
• Handled the team queries
• Created the day end report, Master Log, P2P status along with the pending workload

• Learnt the US Health care Process, RCM workflow & Medical Billing
• Build the knowledge of medical Claims, Cash Posting, Charge posting, Insurance Verification & eligibility.
• Understood the process of impact of claim denial and provider Revenue
• Learnt the Medical Terminology