Senior AR Specialist - SRZ consultancy - Work from Home
(2024-06 - 2025-11)
- Handled team of 6 members. Assigned Inventory to users. Identified trends and root cause analysis.
- Resolving high dollar claims and getting the claims paid on a timely manner preparing appeals and faxing it to insurance.
AR Specialist - Omega Healthcare - Bangalore
(2023-11 - 2024-06)
Working for Urology specialty for Urology associates.
- Working on denials, mostly Authorization, non-covered services.
- Resolving high dollar claims and getting the claims paid on a timely manner preparing appeals and faxing it to insurance.
- Posting payments and making paying corrections. Fixing clearing house rejections
Quality Analyst- Ar - Waterlabs AI - Bangalore, India
(2022-07 - 2023-10)
- Auditing the claims of the associates working on the claims.
- Responsible for maintaining the quality SLA of the team.
- Maintaining running report for the below SLA associates and tracking the performance to ensure no user is below the quality SLA.
- Using the quality tools like pareto charts, histograms, Why Analysis and also check sheets to maintain the quality. Conducting quality meeting and giving feed backs to the users based on the user's quality scores.
- Attending Client meeting and sharing the new SOP to the team if any.
Senior Executive- Ar - Guide House Pvt Ltd - Bangalore, India
(2022-02 - 2022-07)
- Obtaining referrals and pre-authorizations as required for procedures.
- Checking eligibility and benefits verification for treatments.
- Reviewing patient bills for accuracy and completeness and obtaining any missing information. Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing.
- Following up on unpaid claims within standard billing cycle timeframe.
- Checking each insurance payment for accuracy and compliance with contract discount. Calling insurance companies regarding any discrepancy in payments if necessary Identifying and billing secondary or tertiary insurances.
SeniorExecutiveAR - Getix Healthcare PVT LTD - Bangalore, India
(2019-09 - 2022-02)
- Checking each insurance payment for accuracy and compliance with contract discount. Calling insurance companies regarding any discrepancy in payments if necessary Identifying and billing secondary or tertiary insurances.
- Researching and appealing denied claims.
Executive- Ar - Omega Healthcare - Bangalore, India
(2017-07 - 2019-08)
- Obtaining referrals and pre-authorizations as required for procedures.
- Checking eligibility and benefits verification for treatments.
- Reviewing patient bills for accuracy and completeness and obtaining any missing information. Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing.
- Following up on unpaid claims within standard billing cycle timeframe.
