Abhishek Marmamulla
hyderabad
Summary
Adaptable Revenue Cycle Representative skilled in navigating complex billing systems and resolving claim discrepancies. Committed to fostering effective communication with insurance representatives and internal teams to ensure timely follow-up and maximize revenue.
Overview
4
4
years of professional experience
Work History
Revenue Cycle Representative
Inventurus Knowledge Solutions limited
Hyderabad
06.2022 - 07.2023
- Responsible for working assigned claims and running reports to identify claims that require a follow-up and resolve the denial by taking appropriate action as per Modmed guidelines.
- Ensuring timely follow up to save claims from getting written off due to untimely following up.
- Work on Contractual adjustments and write-off projects.
- Analyze previous notes and actions taken on claims; take the correct action on claims not handled correctly previously and bring that to the knowledge of the Quality Team.
- Identify opportunities to improve follow up process and recommend changes to be added/removed in the Practice Instructions or SOPs with any recent changes at the Payer end.
- Attend trainings to learn new updates, technologies, and techniques; enhancing knowledge of various scenarios and keeping abreast with the new updates is an important requirement for this role.
- Continuously self-audit to ensure quality standards are met.
- Review claim thoroughly and explore all possibilities to get claim resolved prior to assigning claims to any other Modmed or client buckets.
- Perform additional tasks or project work as assigned.
Senior Associate
Muller dotkonnect
Hyderabad
11.2021 - 04.2022
- Collaborated with cross-functional teams to enhance project workflows and communication.
- Analyzed data trends to support strategic decision-making and process improvements.
- Developed training materials to onboard new team members effectively and efficiently.
- Coordinated project timelines and deliverables across multiple departments to ensure alignment.
Process Associate
Accenture Private limited
Hyderabad
11.2019 - 06.2021
- Experience in contacting insurance companies and resolving claim discrepancies
- Strong understanding of revenue cycle management and healthcare billing processes
- Excellent communication and interpersonal skills for interacting with insurance representatives and internal teams
- Proficiency in using billing systems and updating information accurately
- Problem-solving abilities to address and resolve any claim-related issues
- Detail-oriented with excellent organizational skills
- Ability to work independently and as part of a team
Education
Master of Science - Management Information Systems
Fairleigh Dickinson University
New Jersey03-2025
Bcom Computers -
Indian Institution of Management And Commerce
Hyderabad05-2018
Skills
- Revenue cycle management
- Claim resolution
- Adjustment Claims
- Process improvement
- Problem solving
- Project management
- Effective communication
Toolexpertise
- Waystar
- Search engine
- Quickbooks
Timeline
Revenue Cycle Representative
Inventurus Knowledge Solutions limited
06.2022 - 07.2023
Senior Associate
Muller dotkonnect
11.2021 - 04.2022
Process Associate
Accenture Private limited
11.2019 - 06.2021
Master of Science - Management Information Systems
Fairleigh Dickinson University
Bcom Computers -
Indian Institution of Management And Commerce
Similar Profiles
Rupesh JondhaleRupesh Jondhale
Accounts Receivable (AR) at Inventurus Knowledge Solutions Private LimitedAccounts Receivable (AR) at Inventurus Knowledge Solutions Private Limited
SANKET SAKHARAM SATPUTESANKET SAKHARAM SATPUTE
Clinical Data Analyst at Inventurus Knowledge Solutions private LimitedClinical Data Analyst at Inventurus Knowledge Solutions private Limited
Gopinath JagtapGopinath Jagtap
Product Engineer at IKS Health (Inventurus Knowledge Solutions Private Limited)Product Engineer at IKS Health (Inventurus Knowledge Solutions Private Limited)
RaviTeja PisupatiRaviTeja Pisupati
Equity Research Analyst at ERP Consulting Client - Jio Financial services LtdEquity Research Analyst at ERP Consulting Client - Jio Financial services Ltd
SRINIVAS NEELAMSRINIVAS NEELAM
Senior Service Engineer at S SCIENTIFIC INSTRUMENTSSenior Service Engineer at S SCIENTIFIC INSTRUMENTS