# KK J

KK J is a remote worker on Himalayas, Senior Claim Management Executive – Revenue Cycle Management at eMDs, based in India.

Source: https://himalayas.app/@kkj

```text
Accounts Receivable Manager in US Healthcare RCM at MEDLINE SOLUTIONS, resolving complex claims and payer denials.
```

| Detail | Value |
| --- | --- |
| Availability | Looking for a job |
| Location | India |
| Authorized to work in | India |
| Salary expectations | 30k+ USD |
| Job categories | Accounts Receivable Manager |
| Skills | Accounts Receivable Management, Healthcare Revenue Cycle Management, AR Aging, AR Inventory Management, Denial Management, Insurance Follow Up, Appeals, Reconsiderations, Claim Resolution, EOB Analysis, ERA Analysis, Payments Analysis, Underpayment Analysis, Payer Escalation, Root Cause Analysis |

## What I'm looking for

```text
I'm seeking a Manager – Accounts Receivable role where I can contribute my US Healthcare RCM expertise, as stated in my objective.
```

## About

```text
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.
```

## Experience

### Senior Claim Management Executive – Revenue Cycle Management

eMDs

```text
Managed insurance follow-up and denial management for US healthcare claims. Performed claim status verification, reviewed EOBs, prepared appeals, and worked aging AR accounts to maximize reimbursement.
```

Skills: Insurance-Follow-Up, Denial-Management, Appeals, EOB-Analysis, Claim-Status-Verification, AR-Management, Payer-Portals, IVR-Systems, Excel

### Subject Matter Expert (SME) – Revenue Cycle Management / AR

Coronis Health

```text
Served as a subject matter expert for US Healthcare RCM, Accounts Receivable, denials, insurance follow-up, and claim resolution. Reviewed complex claims, performed denial analysis, and supported team members with resolution strategies.
```

Skills: Accounts-Receivable, Denial-Management, Appeals, Insurance-Follow-Up, EOB-Analysis, Claim-Resolution, SME-Support, Client-Communication, Process-Improvement

### Team Manager – Revenue Cycle Management / Accounts Receivable

Medline Solutions

```text
Managed day-to-day RCM operations for a team responsible for Accounts Receivable, insurance follow-up, denial management, claim resolution, and payer-related issues. Oversaw AR inventory, monitored team productivity and quality, and handled escalations and client communication.
```

Skills: Accounts-Receivable-Management, Denial-Management, Insurance-Follow-Up, Appeals, Payments-Analysis, Team-Leadership, Quality-Management, Client-Communication, KPI-Reporting, Process-Improvement, Escalation-Management, EOB-Analysis, Payer-Portals, Excel

## Tech stack

- Microsoft Excel
- Availity

To contact KK, message them from this profile with a Himalayas employer account: [Hire on Himalayas](https://himalayas.app/hire).

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