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Naresh Jangid

@nareshjangid1

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I recover healthcare revenue through AR follow-up, denials, appeals, and payer resolution.

India

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What I'm looking for

I'm looking to continue improving US healthcare revenue-cycle outcomes through AR follow-up, denial prevention, appeals, payer collaboration, and process improvement in a HIPAA-compliant environment.

I'm currently leading end-to-end AR follow-up at Exprimunt Medical Billing, prioritizing high-value claims, resolving denials, and monitoring Days in AR, first-pass resolution, and clean claim rates.

Across more than six years of professional experience, including over four years in US healthcare RCM, I've managed AR for Behavioral Health, Mental Health, Orthopedic, and multi-specialty practices. I work directly with Medicare, Medicaid, commercial payers, and onshore US teams to resolve claim discrepancies and secure timely payment.

At Synergy Health 360, I reduced AR aging beyond 90 days through insurance eligibility verification, prior-authorization follow-up, denial tracking, and appeals. I also managed provider credentialing with more than 15 payers and trained junior AR associates on payer guidelines and follow-up strategies.

I'm experienced with AdvancedMD, Kareo, Athenahealth, EOB/ERA analysis, payment posting, patient billing support, and HIPAA-compliant workflows. I apply Six Sigma principles to improve denial workflows and strengthen first-pass claim acceptance.

Experience

Work history, roles, and key accomplishments

Current

Senior AR Specialist

Current

Exprimunt Medical Billing

May 2025 - Present (1 year 4 months)

Lead end-to-end AR follow-up activities, managing aging reports and prioritizing high-value claims to maximize revenue collection. Perform in-depth denial analysis, file timely appeals, and monitor key AR KPIs.

Accounts Receivable AR Aging Denial Management Appeals Insurance Follow Up Revenue Cycle Management HIPAA EOB ERA Analysis Advanced MD Kareo AthenaHealth

AR & Credentialing Specialist

Synergy Health 360

Feb 2023 - May 2025 (2 years 3 months)

Managed full-cycle accounts receivable for a multi-specialty practice, reducing AR aging beyond 90 days. Conducted insurance eligibility verification, appealed denials, and trained junior associates.

Accounts Receivable Credentialing Insurance Eligibility Prior Authorizations Denial Management Appeals Medicare Medicaid Commercial Payers Training

Accounts Receivable Executive

Pacific BPO

Aug 2021 - Feb 2023 (1 year 6 months)

Performed systematic follow-up on unpaid and partially paid AR claims across healthcare accounts. Analyzed EOBs and remittances to identify denial trends and posted payments in practice management software.

Accounts Receivable Insurance Follow Up EOB Analysis Remittances Processing Payment Posting Denial Management Practice Management Systems

Accounts Receivable Associate

ISYSOFTECH Pvt. Ltd.

Oct 2020 - Aug 2021 (10 months)

Initiated insurance follow-up calls and portal inquiries to obtain AR claim status and payment updates. Processed secondary claims and coordination of benefits across dual-insurance accounts.

Insurance Follow Up Claim Status Secondaries Coordination Of Benefits ARR Reporting Claim Summaries

Quality Analyst

Teleperformance

Jan 2019 - Sep 2020 (1 year 8 months)

Monitored customer service calls for quality and compliance benchmarks, coached agents, and built QA scorecards. Identified process gaps and recommended corrective training to improve CSAT scores.

Quality Assurance Call Monitoring Coaching QA Scorecards Process Improvement CSAT