Summary
Overview
Work History
Education
Skills
Projects
Timeline
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Yash Varshney

Yash Varshney

Noida

Summary

Senior Executive with extensive expertise in revenue cycle management at Pacific BPO, specializing in insurance verification and EDI claims processing. Demonstrated success in mentoring teams and improving operational efficiency. Proficient in HIPAA compliance and medical billing, focused on achieving timely reimbursements and promoting collaboration.

Overview

4
4
years of professional experience

Work History

Sr. Executive - AR

Pacific BPO - An AccessHealthcare Company
07.2024 - Current
  • Insurance Verification: Checked patients' insurance eligibility, electronically or using portal and ensuring accurate claim processing.
  • EDI Rejection: Identified and resolved electronic claim submission errors, ensuring clean claim processing and reducing rejections.
  • Follow-Up: Tracked and pursued pending or denied claims with insurance companies to secure timely reimbursements.
  • Mentoring Jr. Team Members: Guided and trained junior team members, helping them understand RCM processes and improve efficiency.

Sr. Executive

Optum Global Services Pvt. Ltd.
07.2021 - 05.2024
  • Working on claims of different states of US like- North Carolina, New York, Rhode Island etc.
  • Adjust or uphold the claims as per the guidelines or determination.
  • Taking live chats as well & working on the problems or request of the provider.
  • Conduct regular audits of random claims for purposes of quality assurance.
  • Manage and distribute co-pays, co-insurance maximums and provider settlements.
  • Provide OJT support as well to the new team members.

Education

B.Sc -

Dr. bhim Rao Ambedkar University
Agra
01.2019

Higher Secondary -

S.I.G.S. College
Aligarh
01.2016

Skills

  • Revenue cycle management and auditing
  • HIPAA compliance
  • Medical billing
  • Insurance verification and follow-up
  • Claims processing
  • Microsoft Office proficiency

Projects

FACETS, Successfully completed a high-volume batch file processing over 1,000 claims within a strict one-week deadline, ensuring accuracy and compliance. Efficient Claim Handling, Managed and processed claims in Facets, meeting productivity targets while minimizing errors and denials.

Timeline

Sr. Executive - AR

Pacific BPO - An AccessHealthcare Company
07.2024 - Current

Sr. Executive

Optum Global Services Pvt. Ltd.
07.2021 - 05.2024

B.Sc -

Dr. bhim Rao Ambedkar University

Higher Secondary -

S.I.G.S. College

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Yash Varshney