Roslin Joshi

Healthcare revenue cycle professional with experience in accounts receivable follow-up, claim resolution, medical documentation, and US healthcare payer portals. Experienced in prior authorization support for ophthalmology, including eligibility and benefits checks, clinical documentation review, authorization submissions, and payer follow-up.

Senior Prior Authorization Specialist – Ophthalmology - AnnexMed - Chennai

(2025 - 2026)

• Process prior authorization requests for ophthalmology procedures and specialty medications, as applicable.
• Verify insurance eligibility, benefits, and authorization requirements; review clinical records and CPT/HCPCS and ICD-10 codes.
• Submit requests through payer portals, follow up on pending cases, and coordinate with provider offices for missing documentation.
• Support denial follow-up, corrections, and resubmissions while maintaining accuracy and turnaround-time targets.

Senior AR Caller - Ventra Health - Chennai

(2024 - 2025)

• Followed up with insurance representatives to obtain claim status and resolve aged accounts receivable.
• Reviewed patient medical records and claim details; submitted medical records and appeals through fax and provider portals.
• Worked with payer portals including Availity, UnitedHealthcare, Connex Medicare, and Oscar Provider Portal.

Senior AR Caller - Access Healthcare Pvt. Ltd. - Chennai

(2022-05 - 2024-07)

Managed A/R follow-ups, investigated denied claims, and supported timely resolution in line with client instructions and service-level targets.

Quality Analyst – OTC Data Cleansing - Wipro Technologies - Chennai

(2020 - 2022)

Performed account audits and data-cleansing activities for the APJ region order management process. Used Oracle applications, Audit Wizard, SAP, and ACDC tools.

Junior AR Caller - Firstsource Solutions Ltd. - Chennai

(2019-05 - 2020-02)

Handled claim follow-ups, reviewed account details, and supported aged inventory resolution to help maintain client service-level agreements.

B.Com - Information System Management - Hindustan College of Arts and Science (2016 - 2019)

HSC - Sri Sankara Matriculation Hr. Sec. School (2014 - 2016)

SSLC - St. Antony’s Matriculation School (2014 - 2014)