AR Senior Client Partner - Access Healthcare - Chennai, India
(2024-04 - 2026-03)
Project: Optum & R1 RCM | Medical/Healthcare Hospital Billing (UB-04)
- Managed the end-to-end AR lifecycle for a high-value medical billing account, including denial management, appeals processing, secure messaging, and fax verification.
- Conducted outbound denial-management calls with US payers, identified rejection root causes, and supported timely claim resubmission to accelerate reimbursement.
- Verified patient insurance eligibility and benefits before billing, identifying coverage discrepancies and inactive policies to reduce avoidable claim rejections.
- Sent letters to patients requesting additional information required for claim resolution.
- Drafted and submitted detailed appeal letters for denied claims with supporting clinical and billing documentation.
- Created tasks to resolve coding-related issues and claim denials.
- Trained new team members on R1 RCM AR worklist navigation and denial-resolution workflows.
- Navigated payer platforms including Availity, NPPES Registry, and UHC Payer Portal to track claim status, retrieve EOBs, and perform follow-up on outstanding balances.
Process Associate – Client Partner - AGS Healthcare - Chennai, India
(2023-06 - 2024-04)
Project: Confluent | Physical & Occupational Therapy | Physician Claims
- Reviewed claims to identify incorrect CPT codes and updated codes with the appropriate coding information.
- Verified that updated codes were accurate and supported by available documentation.
- Processed bulk claims for the same patient and reviewed multiple claims to identify outstanding issues and required corrections.
- Reviewed claim details and made necessary updates to support accurate processing.
- Resubmitted corrected claims for further processing.
- Followed up on aged claims to support timely resolution and payment.
AR Senior Executive / Senior Client Partner - Access Healthcare - Chennai, India
(2022-01 - 2023-08)
Project: DEC (Denials Expansion Calling) | Patient Insurance & Eligibility Verification
- Conducted targeted outbound denial follow-up calls with US insurers to resolve outstanding AR balances and reduce aging across multiple client accounts.
- Verified patient insurance eligibility and benefits through insurance portals, identifying coverage gaps before claim submission to minimize avoidable denials and rework.
- Processed payment posting and performed accurate EOB/ERA reconciliation in Athena Health, maintaining current and traceable account records.
- Filed appeals for denied claims with supporting documentation and payer-specific coding references.
- Promoted to Senior Client Partner in recognition of high accuracy, consistent production output, and quality compliance.
Associate – Customer Support - Tech Mahindra - Chennai, India
(2020-12 - 2021-10)
Project: Indian Bank | Customer Support | Government Bank
- Monitored customers' online debit-card transactions to identify and help prevent fraudulent activity.
- Handled inbound calls and resolved customers' debit- and credit-related queries.
- Blocked customers' debit cards in accordance with their requests and reported complaints for resolution.
Customer Service Executive - Q CONNEQT Business Solutions Limited - Chennai, India
(2019-08 - 2020-12)
Project: Indian Bank | Customer Support | Government Bank
- Trained and onboarded new team members on the fraud-prevention debit-card worklist, including loans and interest-related queries.
- Monitored more than 2,000 debit-card transactions daily to identify and prevent fraudulent activity.
- Contacted customers to verify debit-card transactions and confirm transaction authenticity.
- Identified fraudulent transactions, blocked customer debit cards to prevent unauthorized activity, and informed customers accordingly.