Naveen Bhille
@naveenbhille
I’m a Senior AR specialist specializing in US healthcare revenue cycle and denial management.
What I'm looking for
I’m a results-driven Accounts Receivable Specialist with over 8 years of progressive experience in US Healthcare Revenue Cycle Management. I focus on eligibility verification, billing operations, and senior AR follow-up to help organizations recover revenue faster.
I specialize in insurance follow-ups, denial management, and complex claim resolution, with a consistent track record of reducing aging accounts receivable and improving reimbursement timelines. I’m adept at EOB/ERA analysis, claim correction, and payer policy interpretation to maximize revenue recovery.
In my work, I analyze denials and underpayments to identify root causes such as coding errors, eligibility issues, and timely filing lapses. I reconcile claim payments by reviewing EOB and ERA documents, resolve discrepancies, and prioritize work using AR aging buckets (30/60/90/120+ days).
I also coordinate with internal billing and coding teams to correct claim errors and ensure timely resubmission in line with payer-specific guidelines. From appeals processing to audit-ready documentation of payer communications and outcomes, I bring a quality-first, productivity-driven approach.
Experience
Work history, roles, and key accomplishments
Senior AR Specialist
Coronis Ajuba Solutions Private Ltd.
Feb 2022 - Present (4 years 4 months)
Manage high-volume US healthcare accounts receivable follow-ups with insurance payers to resolve unpaid and denied medical claims across multiple provider accounts. Analyze denials and underpayments using EOB/ERA reconciliation, manage AR aging (30/60/90/120+), and coordinate with billing/coding teams to correct claims and support timely resubmission.
Senior AR Associate
Dafsons Healthcare Solutions Pvt. Ltd.
Oct 2018 - Aug 2021 (2 years 10 months)
Handled end-to-end insurance follow-ups to ensure timely reimbursement from payers for outstanding medical claims. Investigated denials and underpayment scenarios, processed claim corrections/resubmissions per payer guidelines, reconciled accounts using EOB analysis, and maintained documentation for audit readiness.
Eligibility & Verification Executive
SkyCliff IT Pvt. Ltd.
Aug 2017 - Sep 2018 (1 year 1 month)
Verified patient insurance eligibility and benefits prior to medical services to support accurate billing and minimize claim rejections. Validated coverage details (deductibles, copays, out-of-pocket maximums, and policy limitations) via payer portals, ensured accurate entry in the billing system, and maintained detailed verification records.
Education
Degrees, certifications, and relevant coursework
Don Bosco Academy
Higher Secondary Certificate (12th Standard), Higher Secondary Education
Completed Higher Secondary (12th Standard) education at Don Bosco Academy in 2012.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
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