Headline

Senior AR Medical Billing Executive | Client Relations | Operations

About

Results-driven professional with 3 years of experience in AR Medical Billing, client relationship management, denial management, and process improvement. Reduced claim denial rates, managed 80+ claims daily, recovered outstanding payments, and built strong client relationships. Seeking opportunities in Customer Success, Business Development, Banking, Operations, and Client Relationship Management.

Location

Mysore

Work experience

Account receivable at Starmark Healthcare RCM, Jun 2023 - Jun 2026 · 3 yrs 1 mo, Mysore, Managed 80+ insurance claims daily with high accuracy. Reduced claim denials from 15% to 6% through effective denial management. Streamlined billing workflows and reduced rework. Negotiated with payers to maximize claim collections. Resolved complex billing issues through denial analysis. Met monthly productivity and quality KPIs. Maintained compliance with payer guidelines. Awarded for outstanding recovery performance.

Medical Biller at Starmark, Jun 2023 - Jun 2026 · 3 yrs 1 mo, Managed a high-volume portfolio of US healthcare AR claims, consistently achieving and exceeding daily productivity targets while maintaining quality, accuracy, and SLA/TAT standards. Followed up with insurance payers on outstanding claims, payment status, rejections, denials, underpayments, and other account issues to support timely resolution and reimbursement. Verified patient eligibility and benefits and reviewed claim rejections to identify coverage or processing issues and take appropriate corrective action. Investigated denial and rejection reasons, performed root-cause analysis, and coordinated with relevant teams to resolve recurring claim discrepancies. Reduced claim denial rate from 15% to 6% through systematic denial analysis, proactive payer follow-up, and corrective action. Handled complex and escalated billing and claim issues end-to-end, maintaining clear case notes and accurate documentation for follow-up and resolution. Supported payment recovery by researching unpaid and denied claims, resolving discrepancies, and pursuing appropriate payer follow-up. Communicated with insurance payers and stakeholders through voice and written channels, providing timely updates and resolving claim-related queries. Maintained accurate claim and account records, follow-up notes, payment details, and reports using MS Excel and Microsoft Office. Followed SOPs, process guidelines, quality requirements, compliance standards, and system parameters while handling healthcare accounts and claims. Identified recurring process issues and shared findings with team leads/managers to reduce rework and improve turnaround time. Recognized for strong recovery performance and consistent achievement of operational targets.

Education

B.com, Business/Commerce, General, Vidyavardhaka First Grade College

Commerce, HSC, Vidyavardhaka First Grade College