Sobha Rai
AR EXECUTIVE HEALTHCARE RCM
Pune,MH
Summary
A seasoned medical billing professional with 3 years of experience, proficient in accurately processing and submitting insurance claims, utilizing industry-standard coding systems (ICD-10, CPT) to maximize reimbursements while ensuring compliance with regulations, known for exceptional attention to detail and strong analytical skills to resolve billing discrepancies and minimize claim denials.
Overview
3
3
years of professional experience
Work History
AR Analyst
Trubridge
05.2025 - Current
- Account receivable (Hospital billing) with 6+ months in us healthcare RCM at Trubridge hospitals and health care .
- Experienced in payer follow-ups accross 30/60/90+aging denials management/ appeals elegibility &prior auth
- Claim submission (UB-04) (Medicaid/commercial) claims
- Optimized cash flow by monitoring aged accounts receivable reports and prioritizing collections efforts accordingly.
- Eager to contribute to the growth and wellbeing of the company
- Prior utilization of advanced Excel skills (Pivot tables, vlookup) throughout work history required
- Work experience and leadership skills
Accounts Receivable
Credence Resources Management
11.2022 - 04.2025
- Account receivable & Billing specialist (Medical billing) with 2.5 years in us healthcare RCM in credence resource management
- Proficiently managed eligibility verification and authorizations, service requests, and client fee adjustments.
- Experienced in payer follow-ups accross 30/60/90+aging denials management/ appeals elegibility &prior auth
- Claim submission, (CMS 1500 )(Medicare/Medicaid/commercial)
- Eager to contribute to the growth and wellbeing of the company
- Optimized cash flow by monitoring aged accounts receivable reports and prioritizing collections efforts accordingly.
- Prior utilization of advanced Excel skills (Pivot tables, vlookup) throughout work history required
- Work experience and leadership skills
Education
Bachelor Of Degree -
Sai Balaji International Institute of Management Sciences
Higher Secondary School Certificate - undefined
D.A.V. Public school
Secondary School Certificate - undefined
K.R.B.S inter college
Skills
Interested in Learning New Things
ACHIEVEMENTS
Awards:, Best Performer of the Month, July, Sept, Dec 2023, Best Performer of the Month, Feb, April 2024 Best Performer of the Month, Feb, April 2025
Industrial Exposure
- Submit data and medical claims to insurance companies.
- Research insurance policies/eligibility and verification.
- Get in touch with insurance companies and solve or submit information requested by them.
- Resolve Work compensation & no fault claims.
- Help other team members & solve query.
- Complete knowledge about Denial Management and Appeal follow-up.
- Have ability to multi-task and manage time effectively.
- Working on correspondence for medical claims.
Timeline
AR Analyst
Trubridge
05.2025 - Current
Accounts Receivable
Credence Resources Management
11.2022 - 04.2025
Higher Secondary School Certificate - undefined
D.A.V. Public school
Secondary School Certificate - undefined
K.R.B.S inter college
Bachelor Of Degree -
Sai Balaji International Institute of Management Sciences