Subject Matter Expert (SME) - Exprimunt Medical Billing Pvt. Ltd.
(2024-12)
Promoted to Subject Matter Expert within six months after demonstrating consistent performance and strong domain expertise as a Senior AR Analyst.
- Managed approximately 20% of the team's production workload, focusing on high-priority claims to support team targets and timely completion.
- Acted as the primary point of contact for team queries, resolving operational issues and improving process clarity.
- Conducted live audits of production files before submission to external auditors, helping reduce processing errors and escalations.
- Maintained hourly production reports and shared real-time productivity updates with management.
- Tracked rework files, monitored unresolved rebuttals, and followed up on pending items within defined TAT.
- Compiled daily production data and maintained centralized records to support audit readiness and internal reviews.
Senior AR Analyst - Remote Infosys Pvt. Ltd. (formerly ELI Research Pvt. Ltd.) - Remote
(2018-10 - 2024-11)
Worked in a US Healthcare B2B voice process focused on physician billing within the Revenue Cycle Management domain, specializing in Ophthalmology.
- Made outbound calls to payers and insurance companies while following client-specific SOPs and compliance guidelines.
- Handled end-to-end claim lifecycle activities, including aging analysis, denial resolution, claim adjustments and payer follow-up.
- Prioritized follow-up activities on denial claims in accordance with HIPAA guidelines and client requirements.
- Interacted with clients through phone and email to resolve claim issues and support timely removal of accounts from collections.
- Worked on Medicare, Medicaid, HMO, PPO and Workers' Compensation claims and supported the appeal process.
- Applied payer knowledge and claim follow-up experience to address outstanding balances and move accounts toward resolution.
