Indu Negi
@indunegi
Senior Billing Executive specialized in US healthcare RCM, denial management, and claims adjudication.
What I'm looking for
I am a detail-oriented Senior Billing Executive with over five years of focused experience in US Healthcare Revenue Cycle Management (RCM). I have hands-on experience managing AR follow-up, denial resolution, and claims adjudication across payer types.
At Zulu Health I managed physician (CMS-1500) claims, processed payer correspondence, and performed accurate charge posting using CPT, ICD-10, HCPCS, and modifiers. I conducted eligibility and benefits verification to confirm copays, deductibles, and prior authorizations.
Previously at Access Healthcare (Pacific BPO) I processed and adjudicated medical claims, managed claims that bypassed automatic adjudication, and applied plan concepts such as deductible, coinsurance, copay, and out-of-pocket maximums. I consistently ensured high accuracy in demographic and claims data entry to avoid financial penalties.
I bring strong payer knowledge including Medicare, Medicaid, Tricare, VA, Aetna, BCBS and TriWest, and a professional approach to denial management and revenue protection. I seek to leverage my RCM expertise to improve collections, reduce denials, and optimize billing workflows.
Experience
Work history, roles, and key accomplishments
Senior Billing Executive
Zulu Health
Jul 2022 - May 2024 (1 year 10 months)
Managed AR follow-up and resolution for physician (CMS-1500) claims, reducing outstanding AR through targeted denial appeals and payer follow-up. Performed charge posting, eligibility verification, and correspondence processing for Medicare, Medicaid, Tricare, VA and commercial payers.
Billing Executive
Access Healthcare
Apr 2018 - Apr 2022 (4 years)
Processed and adjudicated medical claims within SLA, handled claims bypassing automatic adjudication, and ensured accurate demographic and benefits entry to minimize denials and financial penalties.
Education
Degrees, certifications, and relevant coursework
Central Board of Secondary Education
Higher Secondary Certificate, Higher Secondary
Completed Higher Secondary education under the CBSE curriculum.
Central Board of Secondary Education
High School Certificate, Secondary Education
Completed secondary (high school) education under the CBSE curriculum.
University of Delhi
Bachelor of Arts, Arts
Earned a Bachelor of Arts degree from the University of Delhi.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
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