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Malar
@malarhari506
Eligibility Verification, AR Follow Up, Denial Management, Appeal Process
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Inglês
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US Healthcare RCM professional with 9+ years of experience in Physician Billing, specializing in CMS-1500 professional claims. My expertise includes Eligibility Verification, AR Follow-Up, Denial Management, Appeal Submission, and Appeal Follow-Up. I investigate unpaid and denied claims, identify root causes, analyze aged AR and denial trends, research payer requirements, submit corrected claims and appeals, and follow up for resolution. Experienced with Medicare, Medicaid, Railroad Medicare, commercial payers, and HMO plans
Habilidades
Malar
offline •
Tempo médio de resposta: 1 hora
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Assistência geral
I will do medical billing, ar follow up and denial management
Portfólio
Experiência profissional
Senior Revenue Cycle Specialist | Team Lead
iRapidO Global
Apr 2025 - Present • 1 yr 4 mos
Currently employed by Irapido and assigned to support RevMax as a Senior Revenue Cycle Specialist. I work directly with the client team on daily assignments, instructions, reporting, and operational communication. My responsibilities include Accounts Receivable follow-up, denial analysis and resolution, claims follow-up, identifying recovery opportunities, analyzing denial trends, and supporting appropriate actions such as corrected claims, appeals, reconsiderations, and resubmissions. As a Team Lead, I also support team members, monitor work quality and productivity, provide process guidance, and coordinate with the client team.
Senior AR Caller | Quality Control Analyst – US Healthcare RCM
Omega Healthcare Management Services
Jan 2019 - Dec 2024 • 5 yrs 11 mos
Worked in US Healthcare Revenue Cycle Management with experience in both Accounts Receivable follow-up and Quality Control for provider billing. Started as a Senior AR Caller, handling follow-up for unpaid, denied, underpaid, and aged claims. Worked with insurance payers to obtain claim status, resolve denials, and determine appropriate actions including corrected claims, reconsiderations, appeals, and claim resubmissions. Later worked as a Quality Control Analyst supporting provider billing operations. Performed quality audits, reviewed claims and account activity, identified process gaps, and analyzed recurring denial trends. Conducted root cause analysis for denial patterns, identified bulk recovery opportunities, and supported actions to resolve aged AR and denied claims. Also provided feedback, process guidance, and training to improve team accuracy and performance. Key Skills: Accounts Receivable, Aged AR, Claims Follow-Up, Denial Management, Provider Billing, Quality Auditing, Root Cause Analysis, Appeals, Corrected Claims, Insurance Follow-Up, Revenue Cycle Management, and Process Improvement.
DME Billing / AR Specialist
HCL Healthcare
Jan 2016 - Dec 2018 • 2 yrs 11 mos
Worked on US healthcare Durable Medical Equipment billing for Apria Healthcare. Supported billing and Accounts Receivable processes, including follow-up on outstanding claims, payment delays, and denials. Worked on oxygen concentrator maintenance billing and oxygen cylinder rental billing. Investigated claim issues, reviewed payer requirements, followed up on unpaid claims, and supported corrections and resubmissions to help resolve outstanding accounts.
