AR Caller / Analyst at Getmax Healthcare Solution Pvt. Ltd. (2026-03 – Present)
- Conduct systematic follow-up calls to insurance companies to resolve pending, denied, and underpaid claims, ensuring timely reimbursement for medical services.
- Analyze Explanation of Benefits (EOB) and Electronic Remittance Advice (ERA) to identify denial reasons, appeal or resubmit claims with appropriate corrections and supporting documentation.
- Prioritize AR aging buckets (30/60/90/120+ days) and coordinate with billing teams to maximize collections and reduce days in AR.
- Verify claim status through payer portals (Noridian, NGS Medicare, and commercial payer platforms) and IVR systems to obtain real-time claim updates.
- Prepare and submit insurance appeals with clinical notes, medical records, and authorization documentation to overturn claim denials.
- Identify and escalate complex denial patterns to management, contributing to process improvements that reduced denial recurrence rates.
- Maintain detailed call logs, follow-up activity trackers, and denial summary reports for weekly performance reviews.
- Collaborate cross-functionally with coding, billing, and credentialing teams to resolve eligibility-related denials and authorization issues.
Medical Claim Analyst at Creda Solutions (2024-10 – 2026-02)
- Reviewed patient records, encounter forms, and EHRs to validate services rendered prior to charge entry submission.
- Entered and transmitted charges including CPT/HCPCS codes, ICD-10 diagnosis codes, and modifiers into billing software with high accuracy.
- Verified insurance eligibility, benefits, and prior authorizations to ensure clean claim submission and minimize rejections.
- Posted payments from ERA/EOB, reconciled patient accounts, and maintained a clean AR by resolving discrepancies promptly.
- Managed claim denials end-to-end — identifying root causes, correcting coding errors, and resubmitting claims within payer timelines.
- Collaborated directly with insurance payers to resolve complex claim rejections, significantly reducing average turnaround time.
- Tracked and reported AR aging trends, denial patterns, and claim processing KPIs to support operational efficiency decisions.
- Achieved a 15% reduction in claim rejections through proactive denial resolution and process standardization.
Robotics Research Engineer & Mentor at Otomatiks (2023-09 – 2024-08)
- Taught robotics, coding, and automation concepts to students aged 8–17 through engaging hands-on curriculum.
- Conducted practical workshops featuring Scoobot, Sensors, and Automation experiments to build STEM foundations.
- Mentored students for National-level robotics competitions held at VIT University, Vellore, resulting in multiple podium finishes.
Telecaller (WFH) at Appolos English School (2023-05 – 2023-09)
- Handled inbound and outbound calls with students and parents regarding admissions and scheduling queries.
- Maintained accurate records of all interactions using CRM tools, ensuring data integrity and follow-up accountability.
- Delivered professional and empathetic service, achieving consistently high customer satisfaction scores.
