Claims Follow-up Associate – IKS Health Services (Mar 2024 – Present)
I manage a high volume of outstanding claims by resolving payer edits, denials, and disputes to ensure timely reimbursement. I conduct root‑cause analyses of denials and implement corrective actions that lead to successful appeals and reduced rejections. I collaborate with physicians, billing teams, and practice managers to clarify documentation and address revenue‑cycle issues. I perform KPI and denial‑trend reporting to support process optimization, while ensuring compliance with payer requirements, CMS guidelines, and HIPAA regulations.
Medical Coder & Biller – Optum, Hyderabad (Jan 2021 – Jul 2022)
Applied ICD‑10, CPT, and HCPCS codes to inpatient and outpatient encounters, ensuring accuracy and compliance. Resolved coding edits and supported denial management with providers. Prepared audit‑ready billing summaries and encounter reconciliation reports. Supported charge reconciliation and collaborated with providers to address missing revenue. Worked with Epic Clarity, Cerner, and billing platforms to support efficient claims generation and resolution.
