Sachin Bhat

Manager – AR Follow-up & Denial Management, Revenue Cycle

Pioneer in leveraging Artificial Intelligence (AI) for real-time claims inventory tracking, reducing aging buckets and accelerating cash flow.

Expert in navigating complex payer policies (Medicare, Medicaid, Commercial) and HIPAA compliance to maximize reimbursements.

Current responsibility includes:

Denial Management & AR Recovery: Direct oversight of a team handling high-volume denial management for US-based providers, reducing the initial denial rates.

Developed and implemented root-cause analysis protocols to identify recurring denial patterns (e.g., CO-16, CO-18, CO-22), leading to a maximum increase in first-pass resolution rates.

Consistently Monitoring of aged inventory in days and keeping the follow up within 15 to 30 days max.

Keeping lowest attrition and shrinkage in team

Core Competencies:

Revenue Cycle Management (RCM): US Healthcare Billing, AR Follow-up, Denial Management.

Technical Integration: AI-driven Claims Inventory Tracking, Predictive Analytics, RPA. Compliance & Regulations: HIPAA, ICD-10/CPT Coding, Payer Guidelines, CMS Regulations.

Leadership: Team Mentoring, Performance Metrics (KPIs), Workflow Optimization AI & Inventory Management: Pioneered the use of AI algorithms to track and categorize claims inventory, enabling real-time visibility into high-priority or high-risk aging buckets.

Implemented predictive analytics to forecast payment cycles and identify claims likely to be denied before submission, reducing rework on accounts Utilized AI-driven dashboards to automate the prioritization of "low-hanging fruit" claims, increasing team efficiency.