AR Medical Caller – Hospital Billing at Guide House India Private Limited (2024-11 – 2026-04)
- Ensured timely payment from insurance companies by calling payer representatives to obtain claim status.
- Verified payment details (amount, method, cheque/EFT) for paid claims and documented all payer correspondence.
- Reviewed denial reasons and determined appropriate next steps including appeals, resubmissions, or write-offs.
- Navigated provider portals including Medicare, Gammis, Tricare, Availity, Cigna, Peachstate, UHC, and UMR.
- Maintained accurate, complete documentation of all claim follow-up activity.
AR Medical Analyst – Physician Billing at Coronis Ajuba (2021 – 2024)
- Managed accounts receivable for physician billing, ensuring accurate insurance reimbursement and reducing claim aging.
- Worked with NextGen (primary) and Epic (basic) to track and resolve outstanding claims.
- Operated clearinghouses — RealMed, Echo, and Waystar — to submit and monitor claim batches.
- Handled Credit Balance and Refund Process for 2 years, processing correspondence refunds accurately.
- Applied Denial Management knowledge to identify patterns, escalate disputes, and reduce recurring denials.
- Maintained thorough documentation of all analytical findings and follow-up actions.
Customer Support Specialist at Sutherland Global Services (2020 – 2021)
- Resolved customer inquiries promptly, achieving an 87% satisfaction rating.
- Developed and maintained customer service policies to ensure consistent complaint handling.
- Leveraged customer feedback to recommend product and service improvements.
