Sr. RCM Specialist and Insurance Coordinator | US Healthcare - Medcare Telehealth Inc - Dubai/UAE
(2026-01)
Drove medical billing, insurance coordination, provider enrollment, and core RCM workflows for US healthcare providers, keeping claims moving and payer issues from delaying reimbursement.
- Completed end-to-end provider enrollment with Medicare, Medicaid, and commercial payers to maintain active participation and reduce onboarding delays.
- Coordinated group and individual credentialing and enrollment requirements to support timely provider setup across payer networks.
- Submitted payer applications, tracked deficiencies, and closed missing requirements to move enrollments toward approval faster.
- Manage patient appointment scheduling, rescheduling, and provider calendar coordination to support efficient clinic operations and patient flow.
- Maintained accurate provider demographics, credentialing files, and enrollment records to prevent submission and payer data discrepancies.
- Verify and maintain accurate patient demographic and insurance information to support eligibility verification, billing, and healthcare service coordination.
- Resolved claim rejections and denials through submission follow-up and appeals, improving claim progression across the reimbursement cycle.
- Coordinate patient appointment inquiries, reminders, and follow-ups while maintaining HIPAA compliance and confidentiality of protected health information (PHI).
- Followed up with insurance payers on outstanding claims and payment issues to unblock delayed accounts and support faster collections.
- Verified eligibility and benefits upfront to catch coverage issues early and reduce avoidable claim processing errors.
- Posted payments and reconciled ERA/EOB details to keep account balances accurate and support clean downstream follow-up.
- Worked through payer portals and with insurance representatives to obtain claim details, clarify status, and resolve account issues.
- Supported day-to-day RCM operations by prioritizing outstanding accounts and sustaining timely follow-up across open claims.
Revenue Cycle Officer (RCO) - IKS HealthCare Pvt. Ltd - Navi Mumbai, India
(2024-01 - 2025-01)
Managed US healthcare medical billing and Revenue Cycle Management activities
- Performed accounts receivable follow-up on outstanding insurance claims and unpaid balances
- Reviewed claim status and investigated payment delays and outstanding accounts
- Contacted insurance payers to obtain claim updates and resolve billing issues
- Managed insurance denials and identified appropriate resolution and appeal actions
- Worked on physician billing and CMS-1500 claims
- Performed insurance verification and eligibility-related activities
- Maintained accurate claim and account documentation and coordinated with internal teams to resolve discrepancies
Senior AR Caller - Infinx Healthcare Pvt. Ltd - India
(2023-01 - 2024-01)
Managed AR follow-up for US healthcare providers, driving movement on open claims and unpaid accounts.
- Engaged insurance companies on outstanding claims, denials, and payment status to push unresolved balances toward closure.
- Investigated claim issues and worked with payers to clear barriers holding up reimbursement.
- Handled denial management by identifying next-step actions that moved claims closer to resolution.
- Reviewed claim status in payer portals and insurance systems to guide timely and accurate follow-up.
- Documented payer conversations, account updates, and follow-up actions clearly to maintain continuity across claims handling.
- Supported payment recovery efforts by following through on outstanding AR and keeping unresolved accounts active.
Insurance Coordinator / US Healthcare RCM - Bizmatics: A Harris Computer Company - Mumbai, India
(2021-01 - 2023-01)
Supported medical billing and insurance coordination work for US healthcare accounts, helping move claims through core RCM stages.
- Performed insurance verification, claims processing, and AR follow-up to reduce delays caused by incomplete billing or coverage details.
- Followed up with insurance companies on unpaid claims to advance open accounts toward adjudication and payment.
- Assisted with denial management by supporting claim review and next-step resolution efforts.
- Maintained billing and insurance records accurately to support cleaner follow-up and fewer documentation issues.
