Amudhan A Jayvignesh

Over 10 years of experience in US Healthcare Revenue Cycle Management, specializing in optimizing revenue and minimizing costs for healthcare providers. Proven track record in managing accounts for 25 group providers across various specialties, including Radiology, Cardiology, and Pediatrics. Expertise in end-to-end RCM processes, from scheduling to collections, with extensive knowledge of EHR billing systems. Committed to continuous improvement and team development to achieve organizational goals.

Awarded as “Star Debut” due to Consistent high Performance for March 2016., Awarded as “100 Not Out” due to Perfect at Work, Attendance and Consistent High Quality for March 2016., Awarded as “Extra Miler” due to going beyond the call of duty to get the work done from Jan 2016 to Mar 2016., Awarded as “Star Performer” for the month of Feb and Mar 2019., Awarded as “Star Performer” for the month of Apr 2020, Jan 2021, Apr 2021 and Aug 2021., Client Appreciations via email and Calls.

Plus, Epic, Go Recon, Brightree, Imagine, EBC, Konica, NextGen, NueMD, E-MED, Salesforce, RISC, WFM, E-Fax, Cloud9, Revapp and XPM.

• Creating process flow and SOP.
• Responsible for the completion of the Client Accounts Receivables within the turnaround time and meeting their requirements.
• Meeting TAT on given assignments.
• Weekly Client calls to go over the status on the project.
• Preparing Minutes of Meeting.
• Analyzing various accounts and work closely on issues with major carriers like Medicare/Medicaid, Workers Comp and Blue Cross/Blue Shield, and other payers.
• Mainly focusing on Authorization Denials in which initially need to check Eligibility and later need to initiate Authorization from insurance for high modality services.
• Obtaining Authorization along with Patient Plan Benefits information to schedule visits for the patient with Physicians.
• Used to Call Patients to collect payments which was left over as patient responsibility by the insurance.
• Used to Fax or upload Medical Records in web if required by the insurance for Authorization Approval.
• Monitor unpaid claims and find the root cause for its delay.
• Analyzing Authorization Denial Issues and resolving them towards payment.
• Analyzing Global issues and resolving them / Escalating them to the Client.
• Provided Process and Application Training to new Joiners.
• Allocate daily Work files for my Team members.
• Monitor the new Joiners performance for 3 weeks to make sure they meet the Process SLA.
• Sharing the Client update to team and do an Audit on the update for couple of weeks to make sure that the team is following the same.
• Managing refunds initiated by the users and submitting a report to client on monthly basis
• Preparing MBR and Bi-weekly reports for team production and Quality.
• Conducting DBT sessions
• Screening candiates for hiring process.

I hereby declare that the above information is true to the best of my knowledge.

Place: Chennai

Date: 15-11-2025

(Amudhan A Jayvignesh)