Yashwant Rai

I’m a results-driven AR Specialist and Denial Management Expert with 2+ years of hands-on US healthcare Revenue Cycle Management (RCM) experience. I focus on resolving high-impact denial codes, recovering underpayments, and clearing aging AR to support faster collections.

In my current role, I perform AR follow-ups through calls and payer portals (Availity, Optum, UHC portal), handling 50–70 outbound calls daily. I resolve denials including CO-16, CO-29, CO-4, PR-1, and PR-2, file timely appeals, and have cleared 90+ day aging claims, reducing AR backlog by ~30% while improving first-pass resolution by ~25%.

I also strengthen denial prevention by analysing EOB/ERA data, identifying recurring denial patterns, and implementing claims scrubbing and pre-submission accuracy checks. From my prior medical billing/AR experience, plus my ongoing CPC Professional Coder training, I bring a compliance-first approach with HIPAA standards, eligibility verification, and strong documentation habits.