Sakshi Ahuja

Medical Billing & RCM Specialist | Expert in Denial Resolution, Charge Posting, Payment posting and Process Improvement | Driving Healthcare Billing Efficiency and Maximizing Reimbursement

Role
Ar Specialist at Healthhaven Advisors
Location
Gurugram, IN
LinkedIn followers
500 followers
Finance & AccountingView LinkedIn profile

About Sakshi Ahuja

I am a Senior Medical Billing Specialist with over 4 years of experience in the U.S. healthcare industry, specializing in end to end RCM. I have a comprehensive understanding of medical terminology(ICD-10, CPT, HCPCS), payer systems, and maintaining compliance with healthcare regulations such as HIPAA and CMS guidelines. I am committed to optimizing billing processes, reducing claim denials, and improving cash flow for healthcare providers. I am adept at navigating complex coding issues, troubleshooting billing discrepancies, and ensuring accurate reimbursement through meticulous claim management and denial resolution. Core Competencies: Medical Billing (ICD-10, CPT, HCPCS) Revenue Cycle Management (RCM) Insurance Verification & Claims Processing Payment posting Denial Management & Appeals HIPAA Compliance EHR/EMR Systems (Epic, OfficeAlly, Trizetto) Healthcare Analytics Patient Financial Services Problem-Solving & Attention to Detail Team Leadership & Training Throughout my career, I have consistently enhanced operational efficiency, improved revenue recovery, and supported teams in navigating the complexities of insurance reimbursement processes. I’m always focused on continuous improvement, leveraging data-driven insights to streamline processes, reduce errors, and maximize reimbursement. I’m passionate about delivering exceptional service to healthcare providers and patients alike while maintaining full compliance with regulatory standards.

Experience

  1. Ar Specialist

    Healthhaven Advisors

    May 2024 — Present · Columbia County, PA, US

    At Health Haven Advisors, I lead end-to-end denial management operations, ensuring timely resubmissions and optimizing claim approval rates. I specialize in accurate payment posting, EOB reconciliation, and root cause analysis of denials. My role includes coordinating with providers on coding accuracy per ICD-10 and CPT guidelines, and analyzing aging reports to prioritize high-value claims, thereby reducing AR days. I also manage escalations through payer portals and maintain thorough documentation for appeals and communications, while strictly adhering to payer-specific protocols to minimize future rejections.

Education

  • Gurugram University

    Master of Business Administration - MBA

    2020 — 2022

  • DPG Institute of Technology and Management

    BCA

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Sakshi Ahuja — Ar Specialist at Healthhaven Advisors in Gurugram, IN | Unifers