Sangavi Srinivasan

Medical Billing AR Caller with 2+ years of experience in US healthcare medical billing and accounts receivable management. Skilled in insurance follow up, denial management, appeals, claim status verification, payment posting support, and resolving billing issues. Proficient in Cerner and Epic EMR/EHR systems with strong knowledge of HIPAA guidelines, CPT, ICD-10, and HCPCS coding concepts.

Consistently achieved quality and productivity targets while maximizing collections through effective insurance follow up.

Senior Executive - Legacy Health LLC - Chennai

(2025-03)

• Managed accounts receivable follow-up for hospital claims to ensure timely reimbursement.
• Performed insurance follow-up on unpaid and denied claims to resolve outstanding balances.
• Reviewed EOBs and ERAs to identify and resolve claim denials, underpayments, and payment discrepancies.
• Submitted appeals and corrected claims to maximize reimbursement and improve claim resolution.
• Utilized Cerner EMR/EHR to review patient accounts, update claim information, and maintain accurate records.
• Prioritized aging accounts to improve collections and reduce outstanding AR.
• Maintained accurate documentation while consistently meeting productivity and quality targets.
• Collaborated with billing and coding teams to resolve claim-related issues efficiently.
• Ensured compliance with HIPAA regulations and payer-specific billing guidelines.

Process Associate – Level 1 - AGS Health - Chennai

(2024-03 - 2025-03)

• Monitored unpaid claims and performed timely follow-up to ensure prompt resolution and reimbursement.
• Analyzed non-payment trends and identified recurring issues related to specific payers and claim types.
• Escalated unresolved claims to appropriate teams for further investigation and resolution.
• Managed unpaid, aged, and denied claims to improve collections and reduce outstanding AR.
• Investigated claim denials by reviewing coding errors, policy limitations, and missing documentation.
• Prepared and submitted appeals for denied or incorrectly processed claims to maximize reimbursement.
• Coordinated with insurance providers to clarify claim discrepancies and resolve payment issues.
• Processed claim adjustments based on payer responses and updated account information accordingly.
• Transferred financial responsibility to secondary payers or patients while ensuring accurate charge allocation.

B.E - Agricultural Engineering - Saveetha Engineering College (2021)