Priya M

AR Caller with over 2 years of experience in US Healthcare Revenue Cycle. Proven track record of reducing aging AR, resolving complex denials, and accelerating claim payments while maintaining strict HIPAA compliance. Experienced in insurance follow-up, denial analysis, claim status verification, payer portal navigation, appeals processing, credit balance resolution, and EOB/ERA review. Skilled at identifying claim issues, resolving reimbursement challenges, maintaining accurate documentation.

Patient Enrollment Specialist - Accenture company

(2021-09 - 2022-12)

• Patient Enrollment Specialist with experience in enrolling patients into healthcare programs by collecting and verifying demographic and insurance information, completing enrollment documentation, coordinating with healthcare providers and insurance companies, maintaining accurate patient records, following up on pending cases, and ensuring compliance with organizational policies.

Ar specialist - Technosoft by Omega healthcare

(2024-01 - 2025-12)

• Followed up with US Insurance companies on unpaid and denied medical claims through outbound calls.
• Coordinated with Insurance companies to resolve claim, payment, and eligibility issues.
• Maintained compliance with HIPAA and client-specific policies.

Ar specialist -level 2 - Guidehouse india pvt Ltd

(2026-01)

• Reviewed EOBs and ERAs to identify dental reasons and resolve payment issues.
• Prepared and submitted appeals and corrected claims for denied
• Researched and resolved credit balance accounts according to client guidelines.
• Met productivity, quality, and turnaround time (TAT) targets.

Bachelor of computer application - Computer Application - ALPHA ARTS AND SCIENCE COLLEGE (2017-01 - 2019-12)

HSC-JAIGOPAL GARODIA HIGHER SECONDARY SCHOOL (2015-01 - 2016-12)