Kirti Pawar
@kirtipawar
I improve AR claim quality, denial resolution, and team performance.
IndiaWhat I'm looking for
I'm currently improving AR claim quality at NYX Medical Solutions, where I audit user-worked claims, manage rework and retro audits, and act as the communication bridge between associates, client project leads, and coders.
Previously at Omega Healthcare, I trained new employees on No Authorization across specialties, managed trainee batches through ramp-up, and used RCA, TNI meetings, and operational reporting to improve quality and production performance.
Across Credence Resource Management and GEBBS Healthcare Solutions, I've resolved insurance denials and rejections, analyzed denial trends, handled appeals, trained teams, and supported payer calls. My work has earned recognition for production, quality, and aging reduction, leading to progression from Senior Executive to Subject Matter Expert and Quality Analyst.
Experience
Work history, roles, and key accomplishments
Quality Analyst - AR
NYX Medical Solutions
Aug 2024 - Present (2 years 1 month)
Conduct regular audits and maintain up-to-date knowledge of client-defined quality standards. Act as the Single Point of Contact (SPOC) for the team and serve as the communication bridge between associates and the client project lead.
Subject Matter Expert - AR
Omega Healthcare
Jan 2023 - Mar 2024 (1 year 2 months)
Provided process training for No Authorization in all specialties to new employees. Handled batches from training through ramp-up, ensuring quality and production expectations were met.
Senior Executive - AR
Credence Resource Management
Feb 2021 - Feb 2022 (1 year)
Worked as experienced associate in pilot process AMGH on Sweet software. Handled all kinds of rejections/denials from insurance companies and called to get status of unpaid claims.
Senior Executive - AR
GEBBS Healthcare Solutions
Jul 2018 - Jan 2021 (2 years 6 months)
Worked as SR associate in RTI with software Embillz for 2.6 years. Worked with Appeals Team for 6 months and was trainer for appeals process.
Education
Degrees, certifications, and relevant coursework
Mumbai University
Bachelor of Commerce, Accounts and Finance
2015 - 2018
Grade: GPA: 6
Bachelor of Accounts and Finance from Mumbai University, with a GPA of 6.
Tech stack
Software and tools used professionally
Availability
Location
IndiaAuthorized to work in
Salary expectations
Job categories
Interested in hiring Kirti?
You can contact Kirti and 90k+ other talented remote workers on Himalayas.
Message KirtiGet matched with your dream remote job
Sign up now and join over 250,000+ remote workers who receive personalized job alerts, curated job matches, and more for free!
