Sonam Gautam
Noida
Summary
Senior AR Analyst at CorroHealth Pvt. Limited, with expertise in revenue cycle management and denial management. Leveraged analytical skills to reduce denial rates and enhance compliance through data analysis. Proven ability to implement process improvements, collaborating effectively with cross-functional teams to optimize financial performance.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Senior AR Analyst
CorroHealth pvt limited
01.2020 - Current
- As a senior specialist, I worked closely with the claims team, payment team, QA team, stakeholders, and technical personnel. I handle the denial and appeals, EDI rejections.
- Efficiently managed and resolved payment denials, reducing denial rates, and improving revenue cycle performance.
- Investigated and analyzed denial reasons, implementing corrective actions, and preventive measures.
- Collaborated with healthcare providers, insurance companies, and billing teams to resolve complex denial cases.
- Utilized data analytics to identify patterns and trends in denials, contributing to process improvements, and enhanced compliance.
Billing Executive
Altos global services
08.2016 - 09.2017
- Handling denials, EDI rejections, and billing errors.
- Implementing and Maintaining EDI Transactions: Ensuring that EDI transactions, such as HIPAA 270/271 (eligibility inquiry and response), 276/277 (claims status inquiry and response), and 278 (referral/prior authorization), are correctly implemented and maintained.
- Billing Software Proficiency: Expertise in using Electronic Health Records (EHR), and medical billing software.
- Attention to Detail: Ensuring accuracy in patient and billing information to minimize errors.
- Analytical Skills: Ability to analyze billing data, identify discrepancies, and implement solutions.
- Compliance Knowledge: Awareness of HIPAA regulations and healthcare compliance standards.
Analyst
R1 rcm global limited
08.2016 - 09.2017
- Analyst - claim processing, claim submission, denials, payment posting, medical terms, analysis, medical coding.
- Efficiently managed and processed payment postings, ensuring accuracy and timely updates across financial records.
- Maintained comprehensive data systems, ensuring data integrity, and adherence to compliance standards.
- Collaborated with team members to streamline data entry processes, significantly reducing errors, and improving operational efficiency.
- Utilized financial software tools for tracking and reconciling payments, leading to improved financial reporting and reduced discrepancies.
Education
B.Tech/B.E. - Biotechnology
Hindustan College of Science And Technology
Farah, Mathura03-2014
Skills
- Revenue Cycle Management
- SQL
- Agile methodology
- Denial management
- Analytical Skills
- Data analysis
- Process improvement
- Accounts receivable management
- HIPAA
- EDI
Languages
- English
- Hindi
Total Work Experience
7 Years 0 Month
Courses Certifications
Pursuing Certificate for VBA, Power BI, SQL, Medical Coding
Affiliations
- Employee training programs: conducted workshops on EDI compliance and effective denial management techniques
- Mentorship and leadership: mentored new hires and guided them through billing procedures and compliance standards
Accomplishments
- Data Analytics Integration: Utilized data analytics to identify billing patterns, resulting in a 10% improvement in operational efficiency
- Completing a challenging certification, like pursuing Power BI, VBA, or SQL in your case
Languages
Hindi
First Language
Certification
Courses and certifications
Pursuing a certificate in Power BI and SQL
Successfully completed training in medical coding from the Institute of Medical Coding and Billing
Timeline
Senior AR Analyst
CorroHealth pvt limited
01.2020 - Current
Billing Executive
Altos global services
08.2016 - 09.2017
Analyst
R1 rcm global limited
08.2016 - 09.2017
B.Tech/B.E. - Biotechnology
Hindustan College of Science And Technology
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