Sonika Verma

Results-driven Revenue Cycle Management professional with 6+ years of progressive experience in AR follow-up, denial management, claims adjudication, and team leadership across leading healthcare BPO organizations. Proven track record at R1 RCM, TOTAL RCM Solutions, R Systems, and others. Adept at reducing AR ageing, resolving high-complexity denial cases, coaching junior analysts, and driving process improvements.

Senior AR Analyst - R1 RCM

(2024-06 - 2026-03)

• Managed end-to-end AR follow-up cycle for high-volume payer accounts, consistently maintaining AR ageing within target thresholds.
• Identified root causes of claim denials and executed timely appeals, achieving a denial resolution rate above team benchmarks.
• Reviewed and worked claims across multiple payer portals and EMR platforms, ensuring accuracy of CPT, ICD-10, and modifier application.
• Collaborated with billing teams to identify recurring denial trends and recommended corrective coding and documentation practices.
• Mentored junior analysts, conducted one-on-one knowledge-gap sessions, and supported onboarding of new team members.
• Participated in weekly performance reviews and contributed to process-improvement initiatives that reduced average claim resolution time.
• Maintained compliance with HIPAA guidelines and payer-specific billing requirements throughout all AR activities.

Senior Reimbursement Associate - TOTAL RCM Solutions | Eagles Landing Family Practice

(2019-03 - 2022-02)

• Conducted systematic follow-ups with health insurance companies on pending and denied claims to ensure timely reimbursement.
• Worked denied claims using detailed knowledge of EOB, denial codes, and CPT codes; escalated complex cases and filed insurance appeals.
• Monitored claim status across multiple payer portals and eClinicalWorks, reducing open-claim inventory each week.
• Prioritised high-dollar and aged claims to maximise collections and meet weekly targets.

Senior AR Executive - R Systems India Ltd. | Medac (AR)

(2016-08 - 2017-11)

• Executed follow-ups with health insurance companies on outstanding claims and denial cases across multiple payer portals.
• Resolved complex denials involving CPT codes, modifiers, and ICD codes through outbound calls to payers, hospitals, and provider offices.
• Consistently prioritised high-value claims and aged buckets to maintain optimal AR KPIs.

Senior Executive – AR - Accretive Health | Jacksonville (AR) – Hospital Billing

(2015-07 - 2016-08)

• Handled hospital billing AR follow-up with health insurance companies, resolving claim denials through outbound calls.
• Ensured weekly inventory was cleared to zero, maintaining SLA compliance and payer relationship standards.

Bachelor of Arts (2012 - 2015)