Sakshi Ahuja Email and Phone Number
I am a Senior Medical Billing Specialist with over 4 years of experience in the U.S. healthcare industry, specializing in insurance billing, claims processing, and revenue cycle management (RCM). I have a comprehensive understanding of medical coding (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 & Coding (ICD-10, CPT, HCPCS)Revenue Cycle Management (RCM)Insurance Verification & Claims ProcessingDenial Management & AppealsHIPAA ComplianceEHR/EMR Systems (Epic, OfficeAlly, Trizetto)Healthcare AnalyticsPatient Financial ServicesProblem-Solving & Attention to DetailTeam Leadership & TrainingThroughout 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.
Macro Outsourcing
View- Website:
- macrooutsourcing.com
- Employees:
- 5
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Operations ManagerMacro Outsourcing Jun 2024 - PresentDelhi, IndiaIn my current role, I lead billing operations for multiple healthcare clients, ensuring efficient processing of medical claims and payment postings. My focus is on reducing claim denials and improving revenue cycle efficiency by implementing robust denial management strategies and ensuring accurate claim submissions. I also lead a team of billing professionals, providing training, support, and oversight to drive high performance and operational excellence.Key Areas of Expertise:Revenue Cycle Optimization: Implementing strategies to accelerate payments and reduce outstanding accounts receivable.Denial Management: Analyzing and resolving claim denials through root cause analysis and effective resubmission strategies.Team Leadership & Training: Mentoring and developing billing teams to improve workflow efficiency and accuracy.Client Relations: Maintaining strong client relationships, ensuring satisfaction, and providing regular updates on account status and performance. -
Medical Biller AssociateNeolytix Jul 2023 - May 2024Delhi, IndiaIn this role, I managed the full spectrum of claims processing, including claim creation, submission, and denial management. By improving our pre-submission process and conducting thorough denial analysis, I helped increase claim acceptance rates and significantly reduced processing delays. I also assisted in improving the company's overall claim management processes to support smoother financial operations.Key Highlights:Increased claim acceptance rates through process improvements and pre-submission audits.Reduced denial rates by implementing proactive training and better documentation practices. -
Senior Billing ExecutiveViaanmed Software Solutions Jun 2022 - Jan 2023Gurugram, Haryana, IndiaI was responsible for end-to-end medical billing processes and was a key contributor to improving billing accuracy and reducing claim rejections. I performed detailed denial analyses and implemented corrective actions to streamline the billing process. I also provided reporting and insight into operational metrics, helping guide decision-making.Key Accomplishments:Reduced claim rejections by enhancing quality control checks.Streamlined denial management to ensure faster resolution and improved cash flow. -
Senior Billing ExecutiveFhrm Aug 2021 - Feb 2022Gurugram, Haryana, IndiaAt FHRM, I played a key role in managing end-to-end medical billing processes, ensuring the accuracy and efficiency of claims submissions and payment posting. My responsibilities included overseeing patient demographics, processing claims through multiple platforms, and resolving claim denials to maintain a smooth revenue cycle.Key Responsibilities:Managed medical billing and patient demographics on systems like OfficeAlly, Dr. Chrono, and Practice Fusion, ensuring compliance with healthcare billing standards.Handled payment posting, performed error audits, and ensured the accuracy of financial records.Oversaw denial management, including identifying errors, resubmitting claims, and preparing appeals to improve claim resolution.Worked closely with providers and patients, ensuring clear communication and accurate patient statements.Generated monthly reconciliation reports, providing insights into financial data and improving transparency for clients.Key Achievements:Reduced claim rejections by improving the accuracy of claims submissions and enhancing denial management processes.Streamlined monthly reporting, providing clients with more timely and accurate insights into their accounts receivable. -
Medical Billing ExecutiveFhrm Jul 2020 - Aug 2021Gurugram, Haryana, IndiaIn my earlier role, I handled all aspects of medical billing, including patient data entry, payment posting, and claims management. I was involved in reconciliation reporting, ensuring timely and accurate billing records. This role allowed me to hone my skills in client communication and billing system management.Key Contributions:Improved reporting accuracy, leading to more informed decision-making by clients.Contributed to error reduction by implementing more thorough checks and audits.
Sakshi Ahuja Education Details
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Gurugram UniversityFinance And Business Analytics -
Computer Programming, Specific Applications
Frequently Asked Questions about Sakshi Ahuja
What company does Sakshi Ahuja work for?
Sakshi Ahuja works for Macro Outsourcing
What is Sakshi Ahuja's role at the current company?
Sakshi Ahuja's current role is Senior Medical Billing Specialist | Expert in Revenue Cycle Management, Denial Resolution, and Process Improvement | Driving Healthcare Billing Efficiency and Maximizing Reimbursement.
What schools did Sakshi Ahuja attend?
Sakshi Ahuja attended Gurugram University, Dpg Institute Of Technology And Management.
Who are Sakshi Ahuja's colleagues?
Sakshi Ahuja's colleagues are Mukesh Kumar, Ashish Kumar Mishra, Manish Gupta, Avinash Tiwari, Suraj Kumar.
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Sakshi Ahuja
Special Title Won- "The Dynamic Orator"Finance Enthusiasts | Finance Major With Hr Minor | Tedx Volunteer | Bba'25 | Stock Market Investor | Dream Chaser | Teamwork | Leadership |Bareilly -
Sakshi Ahuja
Gurugram -
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Sakshi Ahuja
Around 6 Years In Immigration And Career Consulting Industry, I Specialize In: ✅ Immigration Services ✅Career Counseling ✅Marketing & Team Leadership. My Passion Lies In Empowering Clients To Achieve Their Dreams.Jalandhar -
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