Arpit Gupta
US Medical Billing | Accounts Receivable | Denial Management
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About
Revenue Cycle Management (RCM) professional with 8 years of experience in US healthcare billing, accounts receivable (A/R) follow-up, and denial management. Experienced in claim status verification, corrected claims, reconsiderations and appeals, contractual adjustments, and aging A/R resolution. Additional experience in quality auditing, account calibration, new hire training, and communication with insurance payers and onshore teams.
Experience
Senior A/R and Denial Management Specialist - Steward Global Consulting
(2024-09 - 2026-04)
- Performed end-to-end insurance A/R follow-up to verify claim processing status and pursue reimbursement.
- Analyzed claim denials, identified root causes, and followed resolution workflows to address unpaid claims.
- Reviewed contractual adjustments and write-off accounts; followed up on high-value claims to prevent avoidable write-offs.
- Worked toward cash collection and claim resolution targets while following client service level agreements (SLAs) and compliance guidelines.
A/R and Claims Specialist / Acting Quality Analyst - Clinic Anywhere
(2023-01 - 2024-08)
- Audited team accounts and presented performance metrics, quality trends, and process updates during calibration calls.
- Trained new hires on payer portal navigation, denial resolution workflows, and client-specific guidelines.
- Checked claim status through payer portals and calls to insurance representatives.
- Investigated unpaid, underpaid, and rejected claims and coordinated corrected claims and appeals with billing teams.
- Tracked monthly A/R metrics and applied follow-up strategies to address outstanding accounts.
Revenue Cycle Analyst - Avantha Technology
(2021-11 - 2023-01)
- Resolved claim denials across multiple medical specialties, identified recurring denial trends, and processed account adjustments.
- Prepared denial summary reports and worked with onshore managers to resolve billing discrepancies.
A/R Executive - Yuam Medline Health Solutions Pvt. Ltd.
(2019-05 - 2021-08)
- Reviewed historical unpaid accounts and followed up on aging A/R to pursue payer reimbursement.
- Processed contractual write-offs and financial adjustments according to client and payer guidelines.
Process Associate - Healthcare - Pacific BPO Pvt. Ltd.
(2018-03 - 2019-05)
- Performed claim follow-up and verified claim status with US healthcare insurance payers.
- Documented payer call notes, claim audit trails, and resolution action plans in billing software.
Education
Bachelor of Technology (B.Tech) - Computer Science - Dr. A.P.J. Abdul Kalam Technical University, Lucknow (2016)
Intermediate (12th) - Rajasthan Board (2010)
High School (10th) - U.P. Board (2007)
