Chokkarapu Sandeep Kumar

• Trained new Claims Associates on company policies and procedures, contributing to their rapid integration into the team.
• Analyzed trends within assigned portfolio to proactively address common issues and improve overall team performance.
• Streamlined the AR calling process by creating a prioritized list of high-value accounts to focus on for maximum revenue impact.
• Collaborated with billing department to ensure timely and accurate invoicing, leading to fewer payment delays from clients.
• Conducted regular audits of outstanding accounts, ensuring proactive intervention on potential risks to revenue collection.

• Enhanced the AR collection rate by implementing effective calling strategies to insurance companies in United States
• Analyzed complex claim issues and collaborated with cross-functional teams to resolve disputes efficiently.
• Maintained accurate records of patient accounts, payments and payment plans.
• Researched billing errors and discrepancies to initiate corrective action.
• Maintained strict adherence to HIPAA regulations, ensuring patient privacy and data security during all communication efforts.
• Contacted citizens in United States to discuss past-due accounts and negotiated payment plans.

• Prioritize unpaid claims for calling according to the outstanding balance.
• Call the insurance company directly to find out about the status of the claim submitted.
• Check the active insurance coverage of the patient.
• Calls patients if required to know about the insurance coverage active to that member.
• Uploading the insurance cards of the patients in the software.
• Posting the denials and the payments in the software for the invoices.
• Sending the medical records of the patient to insurance in the portals wherever it is required.
• Making the corrections in the health claim based on the inputs of the insurance company.
• Transfer the outstanding balance to patient if he/she doesn’t have the active insurance coverage.
• Send the requested documents via paper or electronically to the insurance company and the client.