Naitik Jain

I’m a results-driven healthcare revenue cycle operations professional with 3+ years of experience in accounts receivable management, claims adjudication, appeals, and process optimization. I combine analytical rigor with operational execution to improve cash flow, reduce processing times, and strengthen accuracy across high-volume workflows.

In my most recent role as a Senior Executive - Accounts Receivable, I managed end-to-end AR operations for multiple healthcare clients. Using advanced Excel techniques (Pivot Tables, VLOOKUP, Macros) and SQL, I analyzed AR data to uncover patterns in underpayments and denials—reducing average days in A/R through data-driven follow-up strategies.

I’ve also delivered measurable operational impact by standardizing denial categorization, improving efficiency by 20%, and enhancing reporting accuracy. I maintain comprehensive audit trails and documentation systems to achieve 100% compliance with client software and regulatory requirements, while collaborating with insurance teams to resolve payment discrepancies and interpret EOBs accurately.

Earlier, as an Associate Appeals Representative at Optum (UnitedHealth Group), I processed 50+ complex medical claims daily with 98%+ accuracy. I identified workflow improvements that reduced average claim processing time by 15%, partnered cross-functionally with medical coding and billing, and mentored 5+ new team members to improve quality and consistency.