Surbhi Jain
Delhi
Summary
Dynamic Senior Analyst with R1RCM, specializing in accounts receivable optimization and compliance. Proven track record in enhancing team productivity through effective training and leadership. Proficient in billing software and skilled in relationship management, ensuring accurate invoicing and timely collections while resolving disputes efficiently.
Overview
6
6
years of professional experience
Work History
Senior Analyst
R1RCM
Gurugram
08.2022 - Current
- Handling various activities of Accounts Receivable: As a senior analyst, I am responsible for the accounts receivable process for a business or a client.
- Prepare and process accurate invoices for healthcare services rendered, ensuring compliance with payer contracts, insurance policies, and government regulations.
- Apply payments received from insurance companies and patients, ensuring accuracy in posting to patient accounts, and reconciling payment discrepancies.
- Submit insurance claims to both private insurance companies and government payers (e.g., Medicare, Medicaid) in adherence to payer guidelines.
- Trained new team members in U.S. healthcare claim processes, enhancing team productivity, and reducing onboarding time by 30%.
- Weekly hurdle calls with the onshore team for updates and business concerns.
- Monitor aging reports to ensure timely and accurate application of payments, and resolve outstanding balances.
- Verify insurance coverage and eligibility for patients, ensuring pre-authorization for services when necessary.
- Engage with patients, insurance providers, and internal departments to resolve any billing disputes or denials.
- Ensure compliance with HIPAA regulations, coding standards (CPT, ICD-10), and payer-specific requirements.
- Collaborate with cross-functional teams (finance, patient services, and billing) to optimize collections and billing processes.
Senior Representative
TDI Infra (India) Ltd.
New Delhi
01.2019 - 07.2022
- Prepare and issue accurate invoices for rent, maintenance fees, property sales, and other charges, in accordance with lease agreements and contracts.
- Ensure timely and accurate posting of payments to customer accounts.
- Track discrepancies in invoices, and work with customers to resolve any issues or disputes.
- Reconcile accounts receivable records, ensuring that all payments are properly recorded, and discrepancies are promptly addressed.
- Oversee the collections process, ensuring timely follow-up with tenants and property buyers for overdue payments.
- Work with legal teams to escalate unresolved payment issues, as needed.
- Ensure accurate documentation of all transactions for auditing and regulatory compliance.
- Assist in the preparation of financial statements and year-end reporting processes.
Education
Digital Marketing Programme - Digital Marketing
IIT Delhi
New Delhi11-2021
MBA - HR & Marketing
Bharati Vidyapeeth Deemed University
Delhi01.2016
BSc - Home Science
Lady Irwin College
01.2013
Skills
- MIS
- Proficient in the Microsoft Office Suite (Excel, Word, PowerPoint), with advanced knowledge of Excel for financial reporting and analysis
- CRM Software – AVIVA
- Optimization
- Analysis in healthcare
- Research
- Documentation
- Quick learner
Accomplishments
- Core team member for national-level college festivals.
References
Available on request
Timeline
Senior Analyst
R1RCM
08.2022 - Current
Senior Representative
TDI Infra (India) Ltd.
01.2019 - 07.2022
Digital Marketing Programme - Digital Marketing
IIT Delhi
MBA - HR & Marketing
Bharati Vidyapeeth Deemed University
BSc - Home Science
Lady Irwin College
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