At R1 RCM, I manage denial resolution and monthly collections for healthcare provider clients. My work includes verifying claim status, reviewing EOB/ERA documentation, and resolving claims across commercial insurance, Medicare, and Medicaid.
I recovered $3.4M in revenue monthly through denial management, corrected claims, and appeals. I also tracked 1500+ monthly claims across provider networks.
At R1 RCM, I support process transitions by helping build workflows, knowledge documents, and ramp-up plans. I track AR inventory and turnaround, report KPIs to management, and train new hires on claims workflows and platforms.
Previously, at Pacific BPO and Isys Softech Pvt. Ltd., I monitored and resolved denied claims, followed up with payers, and supported provider enrollment and credentialing. At Pacific BPO, I also trained junior analysts and shared process-improvement recommendations with leadership.
