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AR Follow-Up (II)
AR Follow-Up Specialist at R1 RCM resolving denied and underpaid claims through Epic and payer workflows.
United StatesAR Follow-Up (II) at R1 RCM
Investigated and resolved denied, delayed, or underpaid medical insurance claims using Epic's work queues and claim edit tools. Performed follow-up on outstanding accounts receivable balances across commercial and government payers.
Utilized various healthcare software systems including Epic, Athena Health, eClinicalWorks, and others for daily tasks. Conducted accounts receivable follow-up on denied, unpaid, and underpaid claims, and achieved a payment recovery ratio of 90%.
EpicAthenaHealtheClinicalWorksHealthFusionAdvanced MDCernerMeditechAllscriptsOutlookExcelWord
Bachelor Degree from James Madison University.
Pursued a Bachelor of Science in Computer Science.
Managed assigned tasks and maintained a spreadsheet of denials. Conducted daily tasks including AR follow-up, rejections, collections, denials, EOB processing, claim edits, and eligibility and benefits verification.
EpicOffice PracticumPCCInvasionVisiQuateChange HealthcareKareoTrizettoECWAthenaHealthA R Follow UpDenial ManagementEOBAppealsEligibility VerificationCustomer Service
Prepared provider files for initial credentialing and re-credentialing with commercial insurance plans, Medicare, Medicaid, and Workers Compensation. Set up and maintained CAQH accounts and obtained NPI numbers for providers and facilities.
CredentialingCAQHNPIMedicareMedicaidCommercial InsuranceWorkers’ CompensationEFT EnrollmentsData Entry
Profile sourced from Himalayas.