Ashwin Kumar

Medical Billing & AR Specialist with expertise in ICD-10, CPT, HCPCS coding, insurance verification, and claim management. Specialized in COB verification and overpayment resolution for hospital and lab billing across major payers including Aetna, Cigna, and Priority Health. Experienced in denial management, payer discrepancy resolution, and revenue cycle optimization.

HIPAA compliant professional with proficiency in EHR systems and demonstrated accuracy in processing claims and maintaining compliance.

Client Partner - AR / Medical Billing Specialist - ACCESS HEALTHCARE

(2022-01 - 2023-12)

Specialized in COB verification to prevent claim overpayments, ensuring accurate payer sequencing and compliance.

AR Specialist - VEE HEALTHTEK

(2023-01 - 2024-12)

• Managed hospital billing and AR for commercial payers including Aetna, Cigna, Priority Health, and other insurers.
• Skilled in claim follow-ups, denial resolution, and payment posting to improve reimbursement turnaround and reduce outstanding balances.
• Recognized for accuracy, problem-solving, and clear communication with providers, payers, and patients.

Senior AR Caller - AGS HEALTHCARE

(2024-01 - 2026-12)

• Senior AR Caller – AGS Healthcare (JVHL Lab Codes Process)
• Handled accounts receivable for JVHL lab code billing, ensuring accurate claim follow-ups and resolution.
• Investigated and corrected payer discrepancies to maintain compliance and improve reimbursement turnaround.
• Strengthened revenue cycle efficiency by reducing denials and maintaining clear communication with payers and providers.

Secondary School - Kendriya Vidyalaya DGQA (2005-01 - 2014-12)

Diploma - Mechanical Engineering - Hindustan Institute of Technology (HIET) (2014-01 - 2017-12)