Shorya Rastogi

Experience

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  EXL

  Jun 2019 - Jan 2020

  Account Executive - CNO Financial Group - Accounts Payable

  • Utilised data analytic technologies to manage and enhance accounts payable in order to maintain accurate financial records.• Accomplished reliable supplier data via data, guaranteeing a logical approval process for payments.• Adopted analytics to email inquiries, paying particular attention to correct payments and return checks.• Evaluated data to look into misappropriated money and make sure it was allocated properly.• Streamlined payment processes by looking into and resolving payment issues.• Completed month-end activities with an emphasis on precise payment distribution and data uploading.• Satisfied internal requirements and SLAs while using data analysis to maximise efficiency and output.• Took part in weekly discussions, produced reports based on data, and encouraged decision-making using data. Show less

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  R1 RCM

  Jan 2020 - Jan 2021

  AR Analyst - Trinity Health - Collections US Healthcare

  • Examine claims for accurate invoicing to reduce mistakes.• Make follow-up calls and verify insurance payments.• Perform routine audits to ensure efficient invoicing and prompt claims processing.• Conduct methodical examinations to ensure prompt claims processing and effective billing.• Track down unpaid claims while maximizing cash flow and revenue cycle management (RCM).• Work together with insurance companies to address claim denials and partially or not paid claims.• Systems for verifying end-of-service dates balance to provide accurate and current claims information.• Acting as an AR Caller to maximiser income, I used applied data analysis to track and follow up on unpaid claims within the parameters of the regular revenue cycle. Show less

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  Access Healthcare Services

  Jan 2021 - Jun 2021

  AR Analyst - Change Health Care - US Healthcare Documents Verification Team

  • Streamlined processing of claims data for accurate payments.• Worked cross-functionally together to improve and troubleshoot claims processing through data analysis.• Applied data analysis to understand healthcare billing codes and paperwork correctly.• Conducted thorough claims evaluations, using data analysis to find inconsistencies.• Carried out methodical checks to ensure accurate and timely processing of claims, enhancing workflow.

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  Tata Consultancy Services

  Jul 2021 - Jul 2022

  Business Associate - Steward Health Care - Collections US Healthcare

  • Review, for correctness, claims made by the hospital's backend system and settle them.• Verify insurance payments and make follow-up phone calls.• In order to reduce errors, review claims for accurate billing.• Make systematic checks to ensure prompt claim processing and effective billing.• Resolve claim denials and underpaid or partially paid claims by working with the insurance company.• Cash flow, Revenue Cycle Management (RCM), and unpaid claim follow-up are all priorities.• Optimized data retrieval processes and created interactive dashboards, reports, and visualizations using MS-Excel as per client requirements.• Spearheaded a root cause analysis project to identify the reasons for a high volume of claim denials.• Analyzed data, identified trends, and proposed solutions that resulted in a 20-25% reduction in denials.• Conducted thorough analysis of insurance claims data using SQL, resulting in a 90-95% reduction in duplicate claims• Created interactive dashboards, reports, and visualizations using Power BI to effectively communicate findings and support data-driven decision-making. Show less

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  R Systems

  Jul 2022 - Aug 2023

  • Systematically analyzed data to identify inefficiencies in insurance procedures.• Analyzed data to find reasons behind nonpayment and enhance revenue collection.• Used medical equipment for data validation, account analysis, and reconciliation.• Developed dynamic dashboards in Microsoft Excel and optimized data retrieval methods.• Oversaw a root cause analysis study that cut the number of denied claims by 20–25%.• 90–95% fewer duplicate claims were found after using SQL to analyze insurance claims data.• Created reports and visuals using Tableau for efficient data-driven decision-making. Show less • Verifies the completeness and accuracy of claims in order to guarantee accurate invoicing and reimbursement.• Addresses claim denials by interacting with insurers; this expedites settlement for maximum profit.• Keeps checking in with insurance agents to ensure that claims are processed accurately.• Ensure appropriate payments by creating appeals and the supporting paperwork.• Optimizes efficiency by conducting methodical checks to ensure prompt processing of claims.• Makes use of analytical technologies to create reports on a weekly and monthly basis that evaluate overall income.• Enables management to make well-informed decisions by providing thorough reports in Microsoft Excel or Tableau. Show less

  • Sr. AR Analyst - Arietis Health - Mercy Flight - Flight Ambulatory Services US Healthcare

    May 2023 - Aug 2023

  • Sr. AR Analyst - Arietis Health - Extant Healthcare - Collections US Healthcare

    Jul 2022 - May 2023
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  Arietis Health

  Sept 2023 - now

  Sr. AR Analyst - Mercy Flight - Flight Ambulatory Services US Healthcare

  • Systematically analyzed data to identify inefficiencies in insurance procedures.• Analyzed data to find reasons behind nonpayment and enhance revenue collection.• Used medical equipment for data validation, account analysis, and reconciliation.• Developed dynamic dashboards in Microsoft Excel and optimized data retrieval methods.• Oversaw a root cause analysis study that cut the number of denied claims by 20–25%.• 90–95% fewer duplicate claims were found after using SQL to analyze insurance claims data.• Created reports and visuals using Tableau for efficient data-driven decision-making. Show less

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  Arietis Health

  -

  Sr. AR Analyst - Mercy Flight - Flight Ambulatory Services US Healthcare