Saif Ali

Operations Associate

Noida, Uttar Pradesh, India4 yrs 1 mo experience

Highly Stable

Key Highlights

Promoted to Audit Team for outstanding performance
Maintained 98%-100% accuracy in claims processing
3× Bravo Award winner for excellence

Stackforce AI infers this person is a Healthcare Revenue Cycle Management professional with strong expertise in claims processing and denial management.

Contact

Skills

Core Skills

Accounts Receivable (ar)Denial ManagementClaims ProcessingSales

Other Skills

Claim Status CallsCO/PR/PI Denial CodesAgeing AnalysisMedicareMedicaidRCAClaims ReviewCompliance ReviewConsultative SellingMicrosoft OutlookVisual Basic for Applications (VBA)CMS-1500Customer SatisfactionAppealsNegotiation

About

“US Healthcare RCM Professional with 3+ years of experience in AR follow-up, claim status calls, denial management, eligibility verification, claims review, and appeals processing. Worked on Medicare & Medicaid processes with strong understanding of payer adjudication rules, CO/PR/PI denial codes, and ageing analysis. Promoted to Audit Team for maintaining 100% accuracy and reducing process errors. Skilled in documentation, compliance review, root cause analysis (RCA), and communication with payers/providers. Seeking opportunities as AR Analyst / AR Caller / Claims Analyst to contribute to faster revenue recovery and process excellence.”

Experience

4 yrs 1 mo

Total Experience

2 yrs

Average Tenure

Current Experience

Optum

AR Follow-up Support | Appeals & Claims Analyst | Audit Support

Jan 2022 – Mar 2025 · 3 yrs 2 mos · Noida, Uttar Pradesh, India · On-site

Performed end-to-end A/R follow-up, claim status calls with payers, and worked claims across ageing buckets (0–30, 30–60, 60–90, 90+).
Handled denial management using CO/PR/PI codes and initiated reprocessing or appeals as required.
Conducted Eligibility & Benefits (E&B) verification and corrected member details to prevent future denials.
Processed Medicare & Medicaid claims with 98%+ accuracy and ensured compliance with CMS guidelines.
Coordinated with internal teams to resolve coding/documentation issues and improve reimbursement.
Worked as a Process Auditor: reduced error rates, improved compliance, and maintained 100% audit accuracy.
Achievements:
Promoted to Audit Team for outstanding performance
3× Bravo Award winner
Maintained 98%–100% accuracy
Appreciated for improving process compliance and quality.