Manisha Sharma
Senior Analyst Trainer @R1 RCM
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WORK HISTORY
Senior Analyst Trainer @R1 RCM
Resolve insurance denials through web portals and direct communication with insurance companies.Address denied claims, craft appeals, and follow up on unpaid claims, reducing the aging of receivables.Analyze trends in denials and implement strategies to prevent recurring issues.Document all actions taken and report findings to management for process improvements.Ensure compliance with HIPAA regulations and maintain accuracy in records.Working on fax accounts, managing the receipt and processing of critical documents related to healthcare claims and billing.Assist in the training and onboarding of new hires, providing hands-on guidance in all areas of medical billing, including Demo/Charges, Payment Posting, AR Calling, and AR Analyst duties.Possesses a thorough understanding of Accounts Receivable (A/R) follow-up and denial management, specializing in resolving complex claims and preventing recurring denials.Managing both the production and quality of work for new trainees, ensuring they are well-equipped to handle A/R tasks efficiently.Proactive in monitoring trainee performance, delivering timely performance reports to management, and providing constructive feedback to foster continuous improvement.Identifying process trends, consistently proposes and implements strategies that enhance efficiency and accuracy within the team, driving overall process improvement and contributing to operational success.Monitor the performance of new joiners, provide feedback, and clarify process-related queries.Develop and implement new training methods to enhance efficiency in denial management.Proficient in pre-call claim investigation and persuasive communication to negotiate with payers and stakeholders.
EDUCATION
Delhi University
Bachelor of Arts
Delhi University
Bachelor's degree
ABOUT MANISHA SHARMA
A dedicated US Healthcare & Revenue Cycle Management (RCM) Analyst with over 5 years of…
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