Simran Sachan

Dedicated AR Executive with 3 years of experience in the healthcare industry, specializing in claims audits, denial management, and client follow-ups. Skilled in identifying and resolving billing discrepancies through comprehensive audits, I ensure accurate claim submission and timely reimbursements. My expertise includes working on denied claims, investigating root causes, and preparing appeals to maximize revenue recovery.

I excel in client communication, building strong relationships with payers, and maintaining a proactive approach to resolving account issues. With a keen eye for detail and a focus on process improvement, I strive to optimize the revenue cycle for healthcare providers.

Senior AR Caller - AGS Health - Jaipur, Rajasthan, India

(2024-10)

• Handled AR calling operations for US healthcare clients, managing high-volume claim follow-ups to complete and resolve them.
• Honored as Employee of the Month for 4 months due to exceptional performance and dedication.
• Maintained a strict standard of 100% Quality and Production with zero errors in data entry and claim execution.
• Used Epic and Ace software systems to track account status, document actions, and ensure HIPAA compliance.
• Conducted claim audits, investigated root causes of denials, and coordinated with payers to resolve discrepancies.
• Mentored new AR callers, enhancing overall team performance and critical call quality metrics.

RCM AR Caller / AR Executive - Pacific Global Inc. (Pacific Access Healthcare) - Noida, Uttar Pradesh, India

(2023-09 - 2024-10)

Handled claim follow-ups and maintained high-quality standards in AR calling operations.

• Handled 50+ outbound and inbound calls daily to follow up on pending, delayed, or unpaid insurance claims.
• Maintained a 95%+ call quality score consistently by adhering to industry standards and client guidelines.
• Used Adroit and Excel to track account statuses, review medical codes, and ensure accurate document tracking.
• Conducted detailed claim audits and coordinated directly with insurance payers to resolve complex discrepancies.

B.Sc. - Zoology/Animal Biology - Chhatrapati Shahu Ji Maharaj University (CSJMU), Kanpur (2019-05 - 2023-06)

12th Grade - Intermediate - Uttar Pradesh Board (2017 - 2017)

10th Grade - Matriculation - Uttar Pradesh Board (2015 - 2015)