Summary
Overview
Work History
Education
Skills
Accomplishments
Timeline
Generic

SANSKRITI GARG

New Delhi

Summary

Accomplished and detail-oriented AR Executive with extensive experience in medical billing. Proven ability to optimize revenue cycles by actively managing collections, resolving complex denials, and reconciling accounts with precision. Skilled in data analysis and aging report generation to drive financial performance. My investigative skills drive successful outcomes in complex billing inquiries, fostering strong relationships with clients and insurers. Adept at financial analysis, dispute resolution, ensuring timely payments, and enhancing cash flow.

Overview

4
4
years of professional experience

Work History

Senior Executive - AR

Vocis
New Delhi
05.2025 - Current
  • Responsible for overall accounts receivable collection. Make adjustments to partially posted accounts and analyze credit accounts for refunds.
  • Identifying issues that result in non-payment of claims due to internal or external reviews and elevating significant issues to the supervisor.
  • Responsible for managing outbound calls to resolve billing inquiries, verify insurance claims, and facilitate payments.
  • Performing following-up activity on outstanding physician claims.

Senior Executive

Pacific Global
Noida
11.2023 - 04.2025
  • Responsible for obtaining, initiating, and working on pending authorization for planned procedures, and sometimes performing procedures through portal, fax, or call.
  • Timely management of unpaid claims and ensuring secondary claims are submitted and paid.
  • Coordinated with the insurance company in verifying the patient's eligibility and benefits to obtain medical authorization for procedure codes.
  • Follow HIPAA and other regulatory guidelines for patient confidentiality.

Appeals Representative

Optum Global Solutions
Gurugram
01.2022 - 08.2023
  • Research and resolve written complaints, as well as complex or multi-issue provider complaints submitted by consumers and physicians/providers. Audit claims as per the company's guidelines and SOP.
  • Respond to standard requests and solve routine problems by following established procedures. Need to send appeals to insurance companies.

Education

MBA - Insurance And Risk Management

Aligarh Muslim University
Aligarh, UP
10-2021

Skills

  • Claim follow-up and resolution
  • Investigative and problem-solving
  • Dispute resolution
  • financial analysis
  • Account reconciliation
  • Microsoft Office

Accomplishments

  • Awarded the Star Performer of the Month at Pacific Global in August 2024
  • Resolved a backlog of over 100 denied claims, recovering $30,000 in outstanding revenue, and improving the claims submission process to prevent future denials.

Timeline

Senior Executive - AR

Vocis
05.2025 - Current

Senior Executive

Pacific Global
11.2023 - 04.2025

Appeals Representative

Optum Global Solutions
01.2022 - 08.2023

MBA - Insurance And Risk Management

Aligarh Muslim University

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