Nikita Jatav

Detail-oriented AR Follow-Up Specialist with 3+ years of experience in US healthcare Revenue Cycle Management (RCM). Proven expertise in resolving unpaid and denied claims through direct follow-up with Medicare and major commercial payers. Strong knowledge of the US claim lifecycle, denial management, EOB/ERA review, and HIPAA compliance. Consistently meets productivity and quality benchmarks in fast-paced healthcare environments.

AR Follow-Up and Appeal Specialist Sr. Executive – US Healthcare - Corro Health Infotech Private Limited

(2026-01)

Performed accounts receivable (AR) follow-up on outstanding medical claims with insurance companies to ensure timely reimbursement.

An Accounts

Receivable (AR) Follow-Up and Appeals Specialist is responsible for managing unpaid or denied medical claims from insurance companies. The role focuses on reviewing claim denials, following up with payers to resolve outstanding balances, and preparing appeals to ensure maximum reimbursement for healthcare services. Follow up on submitted appeals to ensure timely resolution.

AR Follow-Up Executive – US Healthcare - Access Healthcare (Pacific BPO Pvt. Ltd.)

(2024-06 - 2026-01)

Perform end-to-end AR follow-up for unpaid and underpaid US medical claims. Communicate with Medicare and commercial payers via calls and web portals. Analyze denials related to eligibility, authorization, coding, and timely filing. Review EOBs/ERAs and identify payment variances and underpayments. Submit appeals and corrected claims to maximize reimbursement. Maintain accurate documentation and ensure HIPAA compliance. Meet daily productivity, quality, and turnaround time (TAT) benchmarks.

AR Follow-Up Executive – US Healthcare - R1 RCM

(2023-04 - 2024-06)

• Managed AR follow-up for US healthcare providers across multiple payers. Followed up on denied and aged claims to ensure timely reimbursement. Worked on denial resolution, claim rework, and appeals submission. Reviewed EOBs and payment postings for accuracy. Maintained payer notes and claim status updates per client guidelines

Team Leader - Justdial Limited

• Lead a team and monitor performance metrics. Improved reporting accuracy and target achievement

Sales Associate - 3I Business Solution Pvt. Ltd. (India Mart)

• Managed client communication and follow-ups. Achieved monthly sales targets through structured outreach

Bachelor of Technology (B. Tech) - JMS Group of Institutions

Diploma in Polytechnic - Government Girls Polytechnic, Lucknow

Senior Secondary (12th) (2022)

Secondary (10th) (2017)