Summary
Overview
Work History
Education
Skills
Professional Accomplishments
Disclaimer
Timeline
Generic
Archana Rajendran

Archana Rajendran

Senior Process Analyst
Chennai

Summary

Experienced professional with 10+ years of expertise, driving growth, innovation, and efficiency. Committed to delivering results that exceed expectations and drive sustainable success for organizations.

Overview

12
12
years of professional experience
6033
6033
years of post-secondary education
3
3
Languages

Work History

Senior Process Analyst

Thryve Digital LLP
06.2024 - Current
  • Managed multiple projects with a focus on MIS dashboard creation for PB & HB Coding, Credit Balance, and Authorization.
  • Designed and delivered daily, weekly, and monthly MIS reports with actionable insights.
  • Collaborated cross-functionally to analyze and present key performance metrics.
  • Developed SOPs to streamline MIS reporting and provider enrollment processes.
  • Handled end-to-end provider enrollment, re-credentialing, and data validation, verification; proficient in CAQH, Acorn, and ticketing.
  • Maintained credentialing records for 200+ providers, ensuring timely updates and renewals.
  • Implemented three Automation BOTs (Payer Addition in Acorn, Adding providers to the Practice location via the Promise portal., CAQH Attestation & Re-attestation), reducing one month of manual work to 1–2 days; recognized by Westside for cost savings.
  • Managed provider enrollment for 1,000+ sub-locations via the Promise portal, enhancing efficiency and accuracy.
  • Ensured accurate daily data distribution to stakeholders.
  • Created and distributed Payor Alerts to communicate policy updates, reimbursement changes, and CPT/DX code revisions.
  • Conducted weekly and bi-weekly client calls to review updates and proactively mitigate potential denials.
  • Compiled and maintained monthly governance reports to support compliance and performance tracking.

Senior Analyst

Thryve Digital LLP
07.2021 - 05.2024
  • Identify and resolve credit balances from overpayments, posting errors, or duplicates
  • Verify credit balances by reviewing account transactions and EOBs
  • Initiate refund process via check requests and approvals
  • Post approved checks in EPIC to resolve credits
  • Ensure accurate records of credit balances and their resolution
  • Utilized the team's standard operating procedures (SOP) as a framework for new hires training
  • Managing Daily Production and Quality
  • Conduct cross-audits within the team

Team Leader- Operations

AGS Health Private Limited
09.2019 - 12.2020
  • Manage daily work, production, attendance, and quality for a 25-member team
  • Conduct team huddles and manage time efficiently
  • Conducted OJT for practical skill development
  • Set the targets, conduct reviews, and execute client-driven plans
  • Will oversee the team performance and development
  • Foster a motivated team environment
  • Build and assign tasks based on team strengths
  • Focus on decreasing Accounts Receivable (AR) days to improve cash flow
  • Performing Audit for auditors as per the process guidelines
  • Performing rebuttal sessions with the QA team and provide weekly training
  • Will train the individuals for opportunities at the next levels in order to grow their professional life

SWAT (Team Arise) – Training & Operations

AGS Health Private Limited
07.2015 - 08.2019
  • Develop a schedule to assess training needs. Created training materials and conducted sessions.
  • Prepare Q&A, and test the employees using the company app.
  • Consult with trainers and managers on session development.
  • Track and share training progress weekly.
  • Review employee performance, and provide feedback.
  • Assist with pilot projects, educating teams on soft live errors. Will mentor employees during go-live.
  • Track the daily production and quality. I will evaluate the team's progress and report to leadership.

Accounts Receivable Associate - Operations

OMEGA HEALTHCARE SERVICES
06.2013 - 12.2014
  • Check eligibility and benefit verification
  • Prepare, review, and transmit claims using billing software, including electronic and paper claim processing
  • Follow-up on unpaid claims within standard billing cycle timeframe
  • Check each insurance payment for accuracy and compliance with contract discount
  • Call insurance companies regarding any discrepancy in payments if necessary
  • To train & mentor team fresher's

Education

B.Sc. Computer - Science (UG)

Kumararani Meena Muthiah College of Arts & Science
Adyar, Chennai

HSC -

Holy Prince Matriculation Higher Secondary School

SSLC -

Holy Prince Matriculation Higher Secondary School

Skills

    Quick Learner

    Team collaboration and leadership

    Individual Contributor

    Project management

    Time Management

    Process SOP and SLA Management

    New client transitioning and stabilization

    MIS reporting

Professional Accomplishments

  • Sustained 10% quarterly productivity growth with 98% quality.
  • Kept annual team attrition below 10%.
  • Streamlined the Provider enrollment process by implementing three Automation BOTs for Payer Addition in Acorn, Attestation Date Updates, and Re-attestation in CAQH. Reduced manual effort by 176 hours (1 month) to 1–2 days, earning client appreciation from Westside for significant cost savings.
  • The implementation of Smart Phrases, also known as hotkeys, has been introduced as a strategy to minimize errors in documentation.
  • Improved Credit Balance process, saving $10,145.80 and 30 hours.
  • Added new payors, increasing Payor Alert volume by 10% in 2024.
  • Received accolades as a Helping Hand, Top Performer, and Consistent Performer in Quality and AR; awarded Extra Miller and Star Debut; and earned TREAT points for successful idea implementation.

Disclaimer

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

Timeline

Senior Process Analyst

Thryve Digital LLP
06.2024 - Current

Senior Analyst

Thryve Digital LLP
07.2021 - 05.2024

Team Leader- Operations

AGS Health Private Limited
09.2019 - 12.2020

SWAT (Team Arise) – Training & Operations

AGS Health Private Limited
07.2015 - 08.2019

Accounts Receivable Associate - Operations

OMEGA HEALTHCARE SERVICES
06.2013 - 12.2014

B.Sc. Computer - Science (UG)

Kumararani Meena Muthiah College of Arts & Science

HSC -

Holy Prince Matriculation Higher Secondary School

SSLC -

Holy Prince Matriculation Higher Secondary School

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Archana RajendranSenior Process Analyst