Ritika Chauhan

Professional with 6 years of experience at R1 RCM in US Healthcare Revenue Cycle Management, specializing in AR Follow-Up and Denials Management. Strong understanding of productivity, quality metrics, payer guidelines, and operational workflows. Possess basic working knowledge of SQL, MS Excel, and Power BI and actively seeking opportunities to transition into reporting, MIS, program, or analytical roles beyond AR follow-up.

Senior Analyst – AR Follow-Up & Denials at R1 RCM (2020-01 – Present)

• Manage end-to-end hospital AR follow-up for Commercial, Medicare HMO, and Medicaid claims.
• Analyze and resolve denials related to coding, medical necessity, authorization, readmission, and payer policies.
• Submit corrected claims, medical records, and reconsiderations within defined TAT.
• Perform underpayment analysis and initiate payer escalations as per contract terms.
• Prepare daily productivity, MOM, and trend reports using MS Excel.
• Support team through training assistance and process improvement initiatives.

Teacher at MBD School (2019-01 – 2019-06)

• Delivered academic instruction and managed classroom activities.
• Developed strong communication, presentation, and mentoring skills.

Bachelor of Science (B.Sc.) – Indira Gandhi National Open University (IGNOU) (2019)