Sakshi Ahuja

Medical Billing & Revenue Cycle Management professional with 5+ years of experience in US healthcare billing. Strong focus on mid-cycle and back-end RCM, including charge entry, claims submission, payment posting (ERA/EOB), AR follow-ups, denials, and appeals. Working exposure to front-end activities such as eligibility verification and prior authorizations, with solid knowledge of ICD-10-CM, CPT, HCPCS, Medicare, Medicaid, and HIPAA compliance.

AR Specialist - Health Haven Advisors

(2024-05 - 2025-08)

• Handled complete AR follow-ups for unpaid and underpaid claims using payer portals and internal systems.
• Worked extensively on denials related to eligibility, coding, medical necessity, timely filing, and authorization issues.
• Prepared corrected claims and appeals in accordance with payer-specific guidelines and timelines.
• Posted payments using ERA/EOBs and identified underpayments and discrepancies.
• Reviewed aging reports and prioritized claims based on dollar value and filing limits.
• Maintained detailed documentation of payer communications, appeals, and claim status updates.

Associate – Medical Billing - Neolytix India Private Limited - Remote

(2023-07 - 2024-05)

• Worked on end-to-end billing activities including charge entry, claims submission, payment posting, and AR follow-ups.
• Performed claim reviews prior to submission to reduce rejections and errors.
• Assisted with eligibility checks and supported prior authorization processes when required.
• Coordinated with QA and coding teams for claim corrections and resubmissions.

Senior Billing Executive - ViaanMed Software Solutions Private Limited

(2022-06 - 2023-01)

• Created and submitted medical claims using Salesforce and billing platforms as per payer rules.
• Reviewed rejected claims, identified errors, and initiated timely corrections.
• Supported denial analysis and AR follow-ups to ensure timely reimbursement.
• Assisted in maintaining process documentation and team knowledge sharing.

Senior Billing Executive - FHRM - Gurugram

(2020-07 - 2022-02)

• Managed complete medical billing workflow including demographic entry, charge entry, claims submission, and payment posting.
• Performed AR follow-ups and coordinated with payers for claim resolution.
• Prepared daily EOD and monthly reconciliation reports.
• Trained and supported new team members on billing processes and software usage.

Medical Billing Intern - FHRM - Gurugram

(2019-06 - 2019-09)

• Assisted in patient demographic entry, charge entry, and claims submission using OfficeAlly.
• Supported payment posting and basic denial analysis under supervision.
• Gained practical exposure to US medical billing and RCM workflows.

Master of Business Administration - MBA - Gurugram University (2020 - 2022)

Bachelor of Computer Applications - BCA - Maharshi Dayanand University (DPGITM) (2017 - 2020)