augi augustin
@augiaugustin
I resolve healthcare claim denials and validate DRGs for accurate reimbursement.
IndiaWhat I'm looking for
I've supported healthcare revenue cycle operations at AGS Healthcare, ACCESS Healthcare, R1RCM Global, and Ventra Healthcare across hospital and physician billing.
I manage end-to-end claim denial resolution for Medicare, Medicaid, CHAMPVA, TRICARE, commercial, and managed care payers, with timely follow-up and reimbursement recovery.
I validate MS-DRG, APR-DRG, and IP DRG claims, identify underpayments, conduct root-cause analysis, and prepare appeals and corrective actions to improve claim accuracy.
I've also served as a subject matter expert and process coach, mentoring team members, supporting onboarding, resolving escalations, and creating SOPs that improve workflow consistency.
Experience
Work history, roles, and key accomplishments
AR Analyst
ACCESS Healthcare
Managed end-to-end claim denial resolution across Federal, Commercial, and Managed Care payers, ensuring timely follow-up and reimbursement recovery. Handled MS-DRG, APR-DRG, and IP DRG validation with focus on accuracy and underpayment identification.
AR Analyst
AGS Healthcare
Managed end-to-end claim denial resolution across Federal, Commercial, and Managed Care payers, ensuring timely follow-up and reimbursement recovery. Handled MS-DRG, APR-DRG, and IP DRG validation with focus on accuracy and underpayment identification.
AR Analyst
Ventra Healthcare
Managed end-to-end claim denial resolution across Federal, Commercial, and Managed Care payers, ensuring timely follow-up and reimbursement recovery. Handled MS-DRG, APR-DRG, and IP DRG validation with focus on accuracy and underpayment identification.
AR Analyst
R1RCM Global
Managed end-to-end claim denial resolution across Federal, Commercial, and Managed Care payers, ensuring timely follow-up and reimbursement recovery. Handled MS-DRG, APR-DRG, and IP DRG validation with focus on accuracy and underpayment identification.
Education
Degrees, certifications, and relevant coursework
Madras University
MBA, Human Resource
Pursued an MBA in Human Resource from Madras University.
Alpha Arts & Science College
B. Com (CS), Computer Science
Grade: 60.2%
Completed Bachelor of Commerce in Computer Science with 60.2%.
Tech stack
Software and tools used professionally
Availability
Location
IndiaAuthorized to work in
Salary expectations
Job categories
Skills
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