Prachi Sharma

To be a part of the challenging team which strives for the better growth of the organization and which explores my potential and provides me with the opportunity to enhance my talent with an intention to be an asset to the company.

Associate Appeals Executive - Optum Global - Gurgaon

(2018-11 - 2021-07)

• Review physician notes and obtain necessary clarifications where necessary
• Prepare appropriate claim documents
• Working on denials, Appeals, and Websites Logins
• Used to work on Appeals received from the providers
• In depth knowledge of preparing appropriate claim documents
• Mentoring new reps & creating their Key Responsibility Areas and following up and making their productivity as per their performance and at the same time keeping in my mind about client satisfaction and retention
• Ensure efficient identification and monitoring of suspicious activities and transactions

Sr. Accounts Receivable (AR) - Pacific HealthCare Bpo

(2022-04 - 2024-03)

Joined as an associate and worked really hard in Medical Billing department and learned the basic concept of AR.

• Efficiently developed my team & made them profitable for the organization
• Established a benchmark in meeting quality standards
• Working and supporting the team as a OJT

Sr. Accounts Receivable (AR) - AGS Healthcare

(2024-03 - 2024-11)

Joined as an Sr. associate and worked really hard in Medical Billing department and learned the basic concept of AR.

Sr. Associate (AR) - Scometrix LLC

(2024-11)

• Joined as an Sr. associate and worked on denials and rejections
• Working 360 degree on billing and AR
• Resolving queries of patient and ins company over the call

BA - Delhi University (2012 - 2015)

Senior Secondary - CBSE Board (2012)

Secondary Education - CBSE Board (2010)