Kiran Sawant

Accounts Receivable (AR) Associate at Rev Upside Business Solutions Pvt. Ltd. (2025-09 – Present)

Performed detailed A/R analysis by reviewing patient accounts, aging buckets, EOBs, ERAs, and payer balances to identify revenue leakage, denial trends, and reimbursement opportunities.
Executed end-to-end denial management, including insurance eligibility verification, claim reprocessing, rebilling, payer follow-ups, and appeals to improve first-pass claim resolution and reduce Days in A/R.
Reviewed ICD-10, CPT, and HCPCS coded claims for billing accuracy and compliance with Medicare, Medicaid, and commercial payer guidelines.
Utilized Athena, Epic, and eClinicalWorks (eCW) to manage patient accounts, monitor claim status, process appeals, and maintain HIPAA-compliant documentation.
Collaborated with billing, coding, QA, and escalation teams while tracking key RCM KPIs, including denial rate, payer performance, reimbursement trends, and aging reports to support revenue integrity and operational improvements.
Demonstrated strong analytical thinking, attention to detail, and process discipline while managing high-volume claims in a compliance-driven healthcare revenue cycle environment.

Trust & Safety New Associate at Accenture Solutions Pvt. Ltd. (2023-11 – 2025-03)

Moderated and evaluated large-scale user-generated content (UGC) using rule-based and ML-assisted moderation systems, ensuring compliance with platform policies, regulatory standards, and risk frameworks.
Applied risk scoring and decision matrices to classify content severity, identify policy violations, and prioritize escalations involving abuse, misinformation, fraud, and sensitive categories.
Conducted trend analysis on violation patterns, false positives, and edge cases to identify systemic risks and support policy refinement and model feedback loops.
Performed quality audits and calibration analysis to measure reviewer accuracy, inter-annotator agreement, and consistency, contributing to improved moderation precision.
Worked closely with policy, QA, and engineering stakeholders, providing structured feedback on model errors, guideline ambiguities, and workflow inefficiencies.
Ensured strict adherence to data privacy, confidentiality, and security controls (PII handling, access governance, audit readiness) aligned with enterprise compliance standards.
Utilized internal dashboards and reporting tools to track KPIs such as accuracy, TAT, escalation rate, and risk exposure, supporting data-driven operational decisions.
Handled high-risk escalations under SLA-driven environments, demonstrating analytical judgment, bias mitigation, and consistent decision-making at scale.

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