abhishek Bhadouriya
@abhishekbhadouriya
I help US healthcare organizations reduce AR aging and denials through revenue cycle and AR claim resolution.
What I'm looking for
I’m a Senior Accounts Receivable (AR) Specialist with 9+ years of experience in US Healthcare Revenue Cycle Management (RCM). I manage end-to-end AR cycle activities—denial management, insurance follow-ups, claim reprocessing, and payment posting—while resolving underpayments, overpayments, and aged claims. I also analyze AR aging (30/60/90/120+ days) and prioritize accounts to improve cash flow and meet productivity targets.
In my recent role, I follow up with payers via calls and portals (30-40 calls/day), submit appeals and ensure timely claim resolution, and maintain HIPAA compliance with accurate documentation. Previously at Optum, I handled insurance claim follow-ups and payment posting (40–50 calls/day), supported denial analysis and corrections, and coordinated with payers for claim status and resolution. I bring hands-on specialization in Worker Compensation and Auto claims, including coordination with attorneys, law firms, and insurance adjusters to manage complex, aged cases.
Experience
Work history, roles, and key accomplishments
Manage end-to-end US healthcare AR cycle, including billing follow-ups, denial management, claim reprocessing, and collections, handling 30–40 payer contacts per day. Improved claim resolution turnaround time and maintained 100%+ productivity; earned Star Performer for the Worker Compensation process.
Handled insurance claim follow-ups and payment posting (40–50 calls/day), performing denial analysis/corrections and maintaining accurate account documentation. Coordinated with payers for claim status and resolution across government and commercial payer accounts, including complex Worker Compensation and Auto claims.
Education
Degrees, certifications, and relevant coursework
Agra University
Bachelor of Science (B.Sc.), Science
Earned a Bachelor of Science (B.Sc.) from Agra University in 2012.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
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