Afreen Jalgaonkar

Detail-oriented Healthcare Revenue Cycle Management professional with 4+ years of experience in medical coding (ICD-10, CPT, HCPCS), payment posting, and insurance claims processing. Proven track record of maintaining coding and payment accuracy above 98%, resolving claim denials, and ensuring full HIPAA compliance. Skilled at reviewing clinical documentation, reconciling accounts, and identifying claim discrepancies to support accurate and timely reimbursement.

Executive – Medical Billing at New Vision Management Solutions (2025-10 – Present)

• Process patient payments into practice management and billing systems, ensuring accurate and timely payment posting.
• Interpret Explanation of Benefits (EOB) to accurately apply payment denial and adjustment codes.
• Identify underpayments, overpayments, and claim denials, routing them to the appropriate billing/AR staff for resolution.
• Accurately post and reconcile 25+ insurance and patient payments daily, achieving a sustained quality audit score of 98%.
• Reconcile daily batch totals with bank deposits and resolve unapplied cash balances to ensure accurate month-end financial reporting.

Senior Client Partner at Access Healthcare (2022-01 – 2024-07)

• Accurately coded patient data using ICD-10, CPT, and HCPCS to support timely claim submission.
• Addressed and resolved coding denials by reviewing and correcting claim documentation.
• Maintained coding accuracy above 98%, consistently meeting internal and client quality standards.
• Ensured all patient information was handled in strict accordance with HIPAA compliance regulations.

Medical Coder at Credence Resource Management (2019-11 – 2021-12)

• Reviewed patient charts and medical documentation to ensure accurate code assignment.
• Utilized encoder software and coding manuals for CPT, ICD-10, and HCPCS coding.
• Maintained detailed, organized documentation to support efficient claims processing.
• Built foundational expertise in US healthcare reimbursement processes and regulatory compliance.

M.Sc. in Microbiology – Abeda Inamdar Senior College, Pune (2017-07 – 2019-12)

B.Sc. in Microbiology – Abeda Inamdar Senior College, Pune (2013-07 – 2016-12)