Sheela M

[email protected] • 93443 62578 • No 77, Annai Priyadharshi Street, Jeevandhapuram, Lawspet, Puducherry – 605 008

PROFESSIONAL SUMMARY

To obtain a challenging position as an AR Caller where I can utilize my communication, analytical, and negotiation skills to ensure timely claim resolution and contribute to the company’s revenue cycle efficiency and To leverage my 1 year of experience in AR calling and with my overall experience, strong knowledge of denial management, and effective communication skills to support the organization’s revenue cycle operations and achieve consistent account resolution.

WORK EXPERIENCE

AR Caller - Associate
02/2025 - 10/2025
Health Prime Inc , Puducherry
• Responsible for calling insurance companies (US healthcare) to follow up on pending or denied claims.
• Verify patient eligibility, claim status, and payment details as per payer requirements.
• Identify billing errors or denials and initiate corrective measures or appeals.
• Update patient accounts and maintain accurate documentation of communications.
• Collaborate with internal teams to improve claim recovery rates and reduce AR days.
• Ensure adherence to HIPAA compliance and company policies.
Senior Executive
11/2021 - 11/2022
Datamatics Global Service Company , Puducherry
• Managed and Processed Death Insurance Claims by Verifying Documentation such as Death Certificates, Policy Details, and Beneficiary Eligibility
• Coordinated with Beneficiaries to Gather Necessary Information and Facilitated Timely Claim Resolutions

EDUCATION

B.Com
01/2021
Don Bosco College of arts and science GPA: 75%
HSS
01/2018
Don Bosco Matric. Hr. Sec School GPA: 60%
SSLC
01/2016
Don Bosco Matric. Hr. Sec. School GPA: 78%

SKILLS

Other: Accounts Receivable (AR) Follow-up Claim Status Enquiry & Resolution Denial Management & Appeals Revenue Cycle Management (RCM) Payment Posting & Reconciliation Claim Submission (EDI & Paper) Explanation of Benefits (EOB) Analysis,Medical Billing Process Knowledge CPT, ICD, and HCPCS Coding Awareness Familiarity with US Healthcare Payers Working Knowledge of Insurance Portals Claim Aging & AR Reporting

ACHIEVEMENTS

• Consistently achieved 100% of daily and weekly claim follow-up targets.
• Reduced claim backlog by 20% within 2 months through efficient follow-up and prioritization.
• Improved first-call resolution rate by maintaining accurate documentation and proactive communication.