Senior AR Executive - OMEGA HEALTHCARE - Bengaluru
(2026-01)
- Utilized Epic software to perform claims analysis, handle outbound calls, and ensure accurate claim processing.
- Prepared and submitted appeal and reconsideration letters through designated availability portals, mail and Fax
- Used PIC software to verify expected payment amounts and support payment accuracy.
- Consistently achieved daily productivity targets by asking precise questions and resolving claim issues effectively.
Senior AR Executive - KRAFT BPO
(2023-11 - 2025-12)
- Worked on Epic software, accurately analysing medical claims and assigning the appropriate kick codes (resolution codes) to route claims to the correct department.
- Performed detailed claim investigation to identify root causes such as eligibility, coding, billing, and payment variances.
- Made professional outbound calls to payers/providers to obtain clarifications and ensure timely resolution of pending claims.
- Maintained high accuracy and productivity while ensuring compliance with organizational and HIPAA standards.
Senior AR Executive - OMEGA HEALTHCARE - Chennai
(2020-10 - 2022-05)
- Worked on Cerner software to analyse and process medical claims as per client instructions and updated workflows.
- Ensured high accuracy in claim handling, consistently meeting client quality and productivity requirements.
- Performed denial and root-cause analysis; when claims were denied for coding-related issues, communicated the denial reason clearly and requested the coding team to make appropriate corrections.
- Made professional outbound calls to payers/providers to check claim status, obtain missing details, and support timely resolution.
AR Executive - ACCESS HEALTH CARE
(2018-08 - 2020-09)
- Worked on Athena software for physician billing, managing key denial categories such as TFL (Timely Filing), coding, eligibility, and medical necessity.
- Specialized in call-specific claims, handling accounts that required direct payer communication for clarification, reconsideration, or escalation.
- Reviewed denial codes and payer policies to determine the correct resolution path and ensured all required information was gathered before calling.
- Documented call outcomes accurately, updated follow-up actions in the system, and ensured timely reprocessing or movement of claims toward resolution.
