Sahil Mehrotra

• Handling a team of 35+ colleagues, which includes 2 Subject Matter Experts, 15 Senior Analysts, 10 Analysts, and other freshers for the U.S. healthcare accounts receivable follow-up.
• Managing the team, handling their queries on the floor for the completion of the work assignment within defined TAT.
• Getting into weekly client calls for the Functional Review and touch-base calls with CBOs, discussing general issues in AR and reduction for 90+ aged AR, maintaining SLAs as defined between the client and the organization.
• Client communication for discussing the ongoing issue and its resolution, either by email or by calls.
• Managing and analyzing data, or identifying trends in the work order and resolution of bulk issues found.
• Making weekly presentations for sharing with higher management for reviewing the weekly performance.
• Review consolidated data, minutes of meeting, quality log manual production dashboard before sharing it to the respective departments.
• Collectively worked on automotive ideas and collaborated with the automation team to get those automation processes in operative mode, as per the business requirements.
• Maintaining Google Space of all colleagues in one master sheet by import range.
• Trained in software such as Star, Eprimse, and Cerner, and also have knowledge of creating a self-registered website portal.
• Handling the appeal team as well, which consists of 10 members.
• One-on-one sessions with new hires and senior analysts, giving training to the newly promoted team leader.
• Attend the monthly session of the leadership workshop.

Management Trainee (October 2022 - June 2023)

• Handling a team of 15 or more associates for U.S. healthcare accounts receivable follow-up.
• Managing the team, handling their queries on the floor for the completion of the work assignment within defined TAT.
• Creating and discussing the SOPs with the client managers and defining a processing for the smooth functioning of the process.
• Handling client-side queries and working on projects related to COB/eligibility.
• Handling weekly calibration calls for the quality improvements in the team.
• One-on-one sessions with senior analysts.

Senior Analyst (Aug 2018 - Sep 2022)

• Calling the insurance company to resolve the denial of the claims.
• Working on both CMS-1500 (Physician Claim) and UB-04 (Hospital Claim) claim forms.
• Working on the R1 decision for clinical and medical claims, also for EHR using Cerner and E-Premise solutions, and EHIM for patient charts.
• Working towards payment on denied and stuck AR claims within the Timely Filing Limit.
• Handling the mentorship role for 10 associates and turning them into expert associates.

• Calling insurance to resolve denials on claims and clear AR backlogs.
• Account Receivable Analysis, which includes aging analysis, procedure code analysis, cash collection, payment, charges, authorization, adjustments, and expected payment analysis.
• Trained on Cerner and E-Primse Hospital Billing tool.
• Prepare a weekly issue tracker and clarification log to share with the client for updates and approval on claims.
• Share team performance daily via email to let them know their MTD.
• Try to figure out the global issue by working with the process leads, and inform the client over the call to get it sorted.
• At the start of the day, share the allocation with the colleague as required by filtering out the high-dollar and older claims. Moreover, provide them with their responsibilities to deliver by the end of the day.
• Training junior associates and new joiners on the entire process through classroom training sessions.

• Calling insurance to resolve denials on claims and clear AR backlogs.
• Address denials/rejections, which include insurance follow-up.
• Mail and fax documents to the insurance company.
• Working on the CMS-1500 form.
• Try to figure out the global issue by working with the process leads, and inform the client over the call to get it sorted.
• Used to provide floor support to the colleague to take an end action on a claim, and to complete an account.