At Optum, I manage revenue cycle and accounts receivable collections for US healthcare clients, meeting monthly KRAs and SLA targets. I investigate complex claim denials, prepare appeals, and resubmit corrected claims.
I also review short payments against payer fee schedules and initiate disputes and re-adjudication requests. For overpayments and duplicate remittances, I coordinate refunds and credit balance adjustments while balancing ledgers.
At IKS Health Pvt. Ltd, I served as a Collections Representative, exceeding monthly collection and quality KRAs by 10%–15%. I reviewed denied claims, audited EOB and ERA files, and contacted insurers to contest improper adjudication.
At GEBBS Healthcare Solutions, I handled medical billing collections and insurance accounts receivable follow-up. I reviewed remittances, pursued underpaid balances, and maintained audit-compliant notes in provider practice management systems.
