Ayan Sami
@ayansami
Detail-oriented Medical Billing & AR Specialist with proven expertise.
What I'm looking for
I am a detail-oriented Medical Billing & AR Specialist with extensive experience in the US healthcare Revenue Cycle Management (RCM). My expertise lies in denial management, insurance claims processing, and payment posting for major insurers such as UHC, BCBS, TRICARE, Medicare, and Medicaid. I have a proven track record of reducing accounts receivable backlog and improving reimbursement rates while ensuring compliance with HIPAA regulations.
Currently, I work at Sunknowledge Service Inc., where I manage end-to-end AR follow-up for denied claims, achieving a remarkable 60% reduction in outstanding payments. My role involves processing claims with over 98% accuracy and performing payment posting and reconciliation. I am adept at analyzing electronic health records and compliance reports to support successful appeals, showcasing my commitment to excellence in the medical billing field.
My passion for staying updated on ICD, CPT, and HCPCS codes drives my continuous professional development. I thrive on collaborating with insurance carriers and internal billing teams to maximize collections and minimize denials. I am eager to explore new billing software and automation tools to enhance RCM processes further.
Experience
Work history, roles, and key accomplishments
AR Resolution Lead
Natural Way
May 2024 - Present (1 year 1 month)
Led TRICARE AR resolution efforts, reducing average claim processing time by 15 days. Collaborated with insurance carriers to maximize collections and minimize denials, implementing corrective measures for improved claim acceptance rates.
Process Associate
Sunknowledge Service Inc.
Jul 2023 - Present (1 year 11 months)
Detail-oriented Medical Billing & AR Specialist with expertise in denial management and insurance claims processing. Managed end-to-end AR follow-up for denied claims, achieving a 60% reduction in outstanding payments. Ensured 98%+ accuracy in claims submissions for major insurers.
Payment Posting Specialist
Atos Medical
Apr 2024 - May 2024 (1 month)
Accurately posted payments and adjustments for BCBS, UHC, Medicare, and Medicaid claims, achieving 99% accuracy in account reconciliation. Resolved posting discrepancies, significantly reducing revenue loss.
Insurance Follow-up Specialist
Lifespan Home Medical
Dec 2023 - Jan 2024 (1 month)
Conducted insurance follow-ups to resolve aging AR claims, improving revenue collection by 60%. Negotiated with insurance representatives to overturn denied claims while ensuring compliance with HIPAA regulations.
Education
Degrees, certifications, and relevant coursework
St. Sebastian's School
High School Certificate, High School
2018 - 2020
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
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