Summary
Overview
Work History
Education
Skills
Linguistic Proficiency
Competency Milieu
Personal Information
Timeline
Generic

Anusha A

Chennai

Summary

To work in a challenging and stimulating environment envisaging personal growth and career development by associating with an organization which, provides challenging prospects for growth and ambience for learning. COMPETENCY MILIEU Enriched 5 years of experience in Medical Billing Denial Management. Learn about US healthcare, how the claims are processed in detail and howto resolve a denied claim. Ability in understanding new processes quickly & transferring knowledge to new processors. Enriched experience in Medical Billing Operations, Team management. Manage a team of approx. 20 users and ensure that all key metrics of performance as per the Client SLA are met and exceeded. Responsible for production planning and resources allocation. Engage with the users in a timely manner and prevent them from disengagement while working in client priority accounts. Review user production report to ensure the allocated client priority accounts are worked within the TAT. Responsible for preparing EOD reports and sending to the client on daily basis Talented Accounts Receivable Specialist with 6+years' experience in financial services, collections and customer care management across diverse industries. Knowledgeable, analytical and personable with excellent problem solving skills and strengths in areas of credit and collections. Proven to improve workflow efficiencies while maintaining high standards in customer service.

Overview

7
7
years of professional experience

Work History

Senior AR Caller

Global Healthcare Billing Partners Pvt Ltd
Chennai
2023.05 - Current
  • Research and resolve medical claims related to US Healthcare, being a major
    part in revenue cycle management.
  • Worked with an accuracy of 100% quality and >100% production consistently.
  • Talk to US healthcare policy professionals and resolve the denied accounts for
    payment to providers or doctors.
    4D
  • Allocation of Daily WO and also do audit work helping the quality team.
  • Preparation of month end reports and managing the claim emails.

Senior Process Associate

AGS HEALTH
Tamil Nadu
2021.11 - 2022.11
  • Research and resolve medical claims related to US Healthcare, being a major
    part in revenue cycle management.
  • Worked with an accuracy of 100% quality and >100% production consistently.
  • Talk to US healthcare policy professionals and resolve the denied accounts for
    payment to providers or doctors.

Senior Accounts Receivable Executive - Denial Management

4D Global Medical Billing Solutions
2019.08 - 2021.10
  • Learn about US healthcare, how the claims are processed in detail and how to
    resolve a denied claim.
  • To analyze the root cause of the denial and resolve the claim. Work towards and
    payment of claims
  • To ensure all the old aged accounts claims have been resolved within the time
    frame and to maintain the overall inventory within 30 days TAT. Solve and
    follow up on complex claims and ensure payment is received
  • Responding to client emails.
  • Responsible for preparing EOD reports and sending to the client on daily basis.
  • Acting as a backup for Team Leader and sending EOD reports to the client.
  • Responding to client emails.
  • Responsible for production planning and resources allocation.
  • Review user production report to ensure the allocated client priority accounts are
    worked within the TAT.

Medusind Solutions PVT LTD
2017.11 - 2019.06
  • Learn about US healthcare, how the claims are processed in detail and how to
    resolve a denied claim.
  • To analyze the root cause of the denial and resolve the claim. Work towards and
    payment of claims
  • Investigate the reason for every denied claim
  • Focus on resolving the issue
  • Resubmit the request to the insurance company

Assistant Client Partner

ACCESS HEALTHCARE
Chennai
2016.12 - 2017.09
  • Learn about US healthcare, how the claims are processed in detail and how to resolve a denied claim.
  • Checking on the refund status claims.
  • Worked on overpayment claims and resolve the issue in a proper manner.

Education

B.A English -

Madras University
01.2014

H.S.S.C -

Saraswathi Vidyalaya Matriculation Higher Secondary School
01.2011

S.S.L.C -

Saraswathi Vidyalaya Matriculation Higher Secondary School
01.2009

Skills

  • Medical Billing Denial Management
  • US healthcare
  • Claims processing
  • Knowledge transfer
  • Medical Billing Operations
  • Team management
  • Performance metrics
  • Production planning
  • Resource allocation
  • Client engagement
  • EOD reporting
  • Quality Standards Compliance
  • Team building
  • Payment posting
  • Training and mentoring

Linguistic Proficiency

  • English
  • Tamil
  • Telugu

Competency Milieu

  • Enriched 5 years of experience in Medical Billing Denial Management.
  • Learn about US healthcare, how the claims are processed in detail and how to resolve a denied claim.
  • Ability in understanding new processes quickly & transferring knowledge to new processors.
  • Enriched experience in Medical Billing Operations, Team management.
  • Manage a team of approx. 20 users and ensure that all key metrics of performance as per the Client SLA are met and exceeded.
  • Responsible for production planning and resources allocation.
  • Engage with the users in a timely manner and prevent them from disengagement while working in client priority accounts.
  • Review user production report to ensure the allocated client priority accounts are worked within the TAT.
  • Responsible for preparing EOD reports and sending to the client on a daily basis.

Personal Information

  • Date of Birth: 11/27/1992
  • Nationality: Indian
  • Marital Status: Married

Timeline

Senior AR Caller

Global Healthcare Billing Partners Pvt Ltd
2023.05 - Current

Senior Process Associate

AGS HEALTH
2021.11 - 2022.11

Senior Accounts Receivable Executive - Denial Management

4D Global Medical Billing Solutions
2019.08 - 2021.10

Medusind Solutions PVT LTD
2017.11 - 2019.06

Assistant Client Partner

ACCESS HEALTHCARE
2016.12 - 2017.09

B.A English -

Madras University

H.S.S.C -

Saraswathi Vidyalaya Matriculation Higher Secondary School

S.S.L.C -

Saraswathi Vidyalaya Matriculation Higher Secondary School
Anusha A