SAGAR TALAWDEKAR
Client Specialist - US HealthCare Revenue Cycle Management | Insurance AR | Denials And Appeals | Nextgen And EClinicalworks
Mumbai
Summary
Detail-oriented Accounts Receivable Specialist with over 3.5 years of expertise in US Healthcare Revenue Cycle Management (RCM), specializing in insurance claims follow-up, denial management, appeals, patient billing, and accounts receivable resolution. Proven ability to collaborate effectively with commercial and government payers to ensure accurate claim submissions and timely reimbursements. Proficient in utilizing industry-standard EHR systems such as NextGen, eClinicalWorks, Waystar, and McKesson to enhance operational efficiency. Recognized for implementing structured receivables processes and recommending improvements that drive value while maintaining a positive attitude and strong organizational skills to consistently meet stringent deadlines.
Overview
1
1
year of professional experience
Work History
Accounts Receivable Executive
US Healthcare
01.2025 - Current
- Performed outbound calls to US insurance payers to check claim status and payment details
- Worked on denied, unpaid, and underpaid claims across multiple payers
- Identified denial reasons and submitted medical and administrative appeals
- Corrected demographic, coding, and billing errors to ensure clean claim resubmission
- Handled patient billing inquiries and coordinated with insurance providers
- Maintained accurate documentation in NextGen, eClinicalWorks, Waystar, and McKesson
- Reduced AR aging and improved overall collections through regular follow-ups
- Followed HIPAA and compliance guidelines during all insurance interactions
- Experience: 3.5 Years
- Mitigated disputes over invoices by liaising between internal departments and clients, ensuring clear communication and swift resolution of issues.
- Identified, recommended and executed opportunities to enhance accounts receivable and billing processes to meet finance requirements.
Education
Graduate Degree - Commerce
Model College
India10-2020
Skills
Accounts Receivable (AR)
Insurance Claims Follow-up
Denial Management & Appeals
Medical Billing
Correct Claim Submission
Patient Billing
Payment Posting & Reconciliation
AR Aging Management
Insurance Verification
HIPAA Compliance
US Healthcare RCM
EHR / Practice Management Systems
General ledger
Timeline
Accounts Receivable Executive
US Healthcare
01.2025 - Current
Graduate Degree - Commerce
Model College
TOOLS & SOFTWARE
NextGen | eClinicalWorks | Waystar | McKesson | EHR Systems | MS Excel
KEYWORDS
Accounts Receivable, AR Specialist, Insurance Claims, Medical Billing, Denial Management, Appeals, US Healthcare, RCM, EHR, NextGen, eClinicalWorks, Waystar, McKesson, Qatar Healthcare Jobs