My Tactical Approach
Back-End Denial Forensics
I don't just "re-bill." I investigate. Whether it's a CO-167 (Medical Necessity) or a CO-27 (Expenses incurred before coverage), I find the logic error and patch the revenue leak.
Payer Negotiation & AR Hunt
Managing aging buckets (90-120+) is a game of persistence. I speak the language of Blue Cross, Medicare, and UnitedHealthcare to ensure adjudications go our way.
Compliance Sentinel
100% HIPAA adherence. I handle Protected Health Information (PHI) with the precision of a surgeon, ensuring audits are never a threat.
The Payer-to-English Translator
Payer says: "Claim is in process for further review."
Yash translates: "They're stalling for 30 days. Initiating follow-up call 09:00 AM Monday."