Ritesh Jain

Results-driven BPO and Healthcare Revenue Cycle professional with approximately 2 years 8 months of cumulative experience across customer support, banking operations, and US healthcare AR processes. Proficient in insurance eligibility verification, accounts receivable follow-up, denial management, and multi-payer portals. Recognized as Best Rookie at AGS Healthcare and Top Advisor at Transcom (Pan-India).

Strong communicator with B2-level English proficiency (Versent-certified), high call-volume handling capacity, and hands-on expertise in healthcare and BPO tools. Holds valid relieving letters for all permanent roles.

AR Caller – Cardiology (Reno Heart Process) - PRS Healthcares - Jaipur

(2024-07 - 2025-02)

• Managed accounts receivable follow-up for a cardiology specialty practice (Reno Heart).
• Worked multi-payer claims, denial analysis, re-billing, and appeals for DME/cardiology charges.
• Maintained daily productivity targets while ensuring accurate documentation in practice management software.
• Coordinated with payers and clinical staff to resolve complex claim denials and underpayments.

Customer Success Agent – Drug Eligibility Verification [Contract] - Transcom - Jaipur

(2025-07 - 2025-11)

• Verified drug/pharmacy eligibility for patients using UHC portal, Availity, and BCS.
• Achieved Top Advisor recognition at Pan-India level for exceptional call quality and accuracy.
• Handled 60+ inbound and outbound calls daily, maintaining superior CSAT scores.
• Collaborated with pharmacy and insurance teams to resolve coverage discrepancies.

AR Caller – NSM (DME) Process - AGS Healthcare - Jaipur

(2023-03 - 2024-04)

• Followed up on Durable Medical Equipment (DME) claims under NSM process with major US payers.
• Received Best Rookie recognition for outstanding performance in the initial appraisal cycle.
• Utilized Adroit and E Med Practice systems for claims tracking, status updates, and appeal submissions.
• Consistently met and exceeded daily call quotas and collection targets.

Customer Support Executive – TNS (Domestic) Process - Teleperformance - Jaipur

(2021-03 - 2021-08)

• Provided domestic customer support for TNS process, resolving queries via inbound calls.
• Demonstrated strong communication and problem-solving skills in a target-driven environment.
• Maintained high first-call resolution and quality scores throughout the tenure.
• Relieving letter available.

Senior Secondary - Arts - Shri LMBN Sr. Sec. School, Ladnu (2013)

Secondary - All Subjects - Shri LMBN Sr. Sec. School, Ladnu (2011)