AR Follow-Up Analyst - Exprimunt Medical Billing - Work From Home
(2025-09)
- Handling claims with different Insurances
- Follow up on unpaid claims as well as old claims
- Verification of insurance (Medical as well as other insurances)
- Knowledge with insurance authorizations and denials
- Correct denied claims with correct information and re-submit claims
- Submit electronic claims (primary insurance or secondary insurance)
- Ensure claims are submitted within filing limit
AR Follow-Up Analyst - ClinicMind Application - Work From Home
(2024-12 - 2025-08)
Worked as AR Follow up Analyst (WFH) from 2nd Dec 2024 to 13th August 2025
- Handling claims with different Insurances
- Follow up on unpaid claims as well as old claims
- Verification of insurance (Medical as well as other insurances)
- Knowledge with insurance authorizations and denials
- Correct denied claims with correct information and re-submit claims
- Submit electronic claims (primary insurance or secondary insurance)
- Ensure claims are submitted within filing limit
Subject Matter Expert (SME) – UnitedHealthcare - Wipro - Kolkata, West Bengal
(2021-10 - 2023-08)
- Managing team strength of 20 people and responsible for handling team quality
- Preparing minutes of meeting as discussed on updates, progress, issues and improvements plan
- Conducting daily quick hurdle with all the employees
- Mapping client's need, identifying improvement areas and implementing measures to maximize client satisfaction levels
- Managing the team for achieving quality; providing first line assistant to the team by answering to their process queries & resolving issues and ensuring minimum TAT to avoid getting an error
- Training & monitoring the performance of team members to ensure efficiency is meeting within deadline
- Trained new team members on system and process to keep team operations productive and efficient
- Problem solved DFE / AR questions on behalf of internal team members
Medical Billing Executive – UnitedHealthcare - SunKnowledge Services Inc. - Kolkata, West Bengal
(2014-12 - 2021-05)
- Taken inbound calls daily (40-50) for healthcare process (till Nov'15)
- Taken inbound calls regarding patient eligibility, authorization status and claims status
- Informed about the appeal process in case the claim or authorization gets denied
- Informed about timely filing to the providers for initial claim submission as well as reconsideration claim submission
- Handled claims with different Insurances
- Ability to read and interpret EOBs
- Follow up on unpaid claims as well as old claims
- Setting up new patients accounts
- Verification of insurance (Medical as well as other insurances)
- Knowledge with insurance authorizations and denials
- Correct denied claims with correct information and re-submit claims
- Submit electronic claims (primary insurance or secondary insurance)
- Verifying Eligibility for Insurance, entering patient demographics
- Enter data of orders into the system for DME process
- Expertise in taking follow up on a daily basis
- Ensure claims are entered and submitted within filing limit
- Re-submit insurance claims as necessary. Knowledgeable in timely filing restrictions
- Insure accuracy of insurance claims. Verify correct ICD-10 and CPT codes for a variety of specialties
- Accurately apply payments to patient account
- Excel experience
- Insure office practices are in compliance with HIPAA regulations
