Roshni MI
@roshnimi
Accounts Receivable Specialist specializing in US healthcare revenue cycle management, denial/underpayment recovery.
What I'm looking for
I’m a results-driven Accounts Receivable professional focused on US healthcare revenue cycle management. I bring expertise in insurance follow-up, denial management and appeals, EOB analysis, claim adjudication, and recovering underpaid or unpaid claims.
Since Aug 2024 at Equalize RCM, I manage end-to-end accounts receivable for US healthcare payers, including commercial, Medicare, and Medicaid. I perform systematic follow-up on unpaid and underpaid claims, analyze EOBs and payer responses, and identify denials, underpayments, and processing errors.
I execute corrective actions such as claim corrections, appeals, and payer negotiations to recover unpaid or underpaid balances. I prioritize and reconcile aged accounts to accelerate cash collections and improve AR aging, while collaborating with billing and clinical teams to resolve coding and documentation issues that can drive future denials.
I maintain HIPAA-compliant documentation and workflows in eClinicalWorks (eCW) and ModMed, using MS Excel to track claim status and AR KPIs. My goal is to keep claims moving accurately and efficiently—streamlining gastroenterology billing workflows through timely, detail-focused resolution.
Experience
Work history, roles, and key accomplishments
Accounts Receivable
Equalize RCM
Aug 2024 - Present (1 year 10 months)
Managed end-to-end accounts receivable for US healthcare payers (commercial, Medicare, Medicaid), handling insurance follow-up, EOB analysis, claim adjudication, and denial management. Prioritized aged accounts to accelerate collections and maintained HIPAA-compliant workflows in eClinicalWorks (eCW) and ModMed while collaborating with billing/clinical teams to reduce future denials.
Education
Degrees, certifications, and relevant coursework
MMK And SDM Mahila Maha Vidhayala
Bachelor of Commerce (B.Com), Commerce
2021 - 2024
Bachelor of Commerce (B.Com) program completed from Jan 2021 to Jan 2024 at MMK And SDM Mahila Maha Vidhayala.
Availability
Location
Authorized to work in
Job categories
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