KK J

At MEDLINE SOLUTIONS, I managed day-to-day Revenue Cycle Management operations for Accounts Receivable, insurance follow-up, denial management, and claim resolution. I oversaw AR inventory and prioritized accounts by aging, dollar value, denial reason, payer, timely filing risk, and recovery potential.

I reviewed complex and escalated claims, analyzed EOBs and payer responses, and managed appeals, reconsiderations, corrected claims, and payer escalations. I also identified recurring denial trends and assisted with corrective actions to reduce preventable AR.

At CORONIS HEALTH, I served as a Subject Matter Expert for US Healthcare RCM and Accounts Receivable. I investigated aged, unpaid, denied, and partially paid claims, guided team members on resolution strategies, and supported process improvements.

Earlier, at eMDs, I managed insurance follow-up and denial management for US healthcare claims. I verified claim status through payer websites, portals, and IVR systems, reviewed EOBs, and prepared appeals and reconsideration requests.