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shruthi sharma

@shruthisharma

Accounts Receivable Associate at Ensemble Health Partners resolving aging and high-dollar healthcare claims with 100% quality.

India

Message

At Ensemble Health Partners, I managed calling and non-calling accounts, resolving aging and high-dollar claims. I tracked denial trends to help accelerate resolutions and prevent recurring billing errors.

I used Availity, payer portals, and clearinghouses for claim status checks and appeals, while maintaining a 100% quality resolution score under HIPAA guidelines. At OPTUM, R1 RCM, and GEBBS Healthcare, I followed up on unpaid claims, managed denials, and worked with CMS-1500 claims.

Experience

Work history, roles, and key accomplishments

A.R. Associate

Ensemble Health Partners

Oct 2025 - Oct 2026 (1 year)

Managed calling and non-calling inventories, resolving aging and high-dollar claims to maximize revenue. Identified root cause trends for claim denials and maintained 100% quality while meeting daily production targets.

Availity Epic Payer Portals Excel Microsoft Word HIPAA compliance CMS 1500 Denial Management

SR Collections Rep

Optum

Mar 2025 - Aug 2025 (5 months)

Followed up on outstanding physician claims per medical billing standards, reviewing unpaid, old, no-response, and denied claims. Utilized EPIC for documentation and maintained HIPAA compliance.

Epic HIPAA compliance Medical Billing Denial Management Work Queues

A.R. Associate

R1 RCM

Aug 2024 - Feb 2025 (6 months)

Worked on CMS-1500 claims and resolved insurance denial codes. Submitted electronic and paper claims to primary and secondary payers, and edited, corrected, and resubmitted failed claims.

CMS 1500 Insurance Claims Denial Resolution Electronic Claims Processing Paper Claims