ARUN E T
Summary
High organized and meticulous Senior Associate with over 7 years of experience in US Insurance, Medical billing with excellent time management and task prioritization skills. Able to perform complex and routine AR functions, End to end policy cycle, Claims, Denial management, Authorization & Overpayment resolution with strong judgement and critical thinking ability.
Overview
10
10
years of professional experience
Work History
Senior Executive AR
Omega Healthcare
Banglore
03.2026 - Current
- Developing strategic initiatives to enhance healthcare processes and patient outcomes.
- Reducing claim denials by 20% through rigorous review of clinical documentation, CPT codes, and ICD-10 diagnosis codes.
- Verifiying patient insurance eligibility and benefits for Medicare, Medicaid, and commercial plans to identify authorization requirements prior to service.
- Collaborate with healthcare providers to obtain necessary clinical documentation, reducing incomplete, delayed authorizations
- Accelerating approval turnaround times by 30% by utilizing electronic portals and maintaining strong relationships with insurer medical directors.
Senior Associate AR
Guidehouse India Pvt Ltd
Thiruvananthapuram
02.2022 - 01.2026
- Identifying denied/underpaid claims, re-filing corrected claims, minimizing AR days and eliminating aged AR.
- Perform Adjustments in patients and insurance accounts.
- Overpayment resolution, refunding the excess amount recieved and offsetting.
- Collaborated with cross-functional teams to improve workflow efficiency and communication.
- Crosschecking various insurance websites to validate contract rate per services.
- Expert in various payor websites like-Metlife, Cigna, Bluecross Blueshield, Aetna, Delta dental, Humana etc.
Analyst
Sutherland global services
Cochin
04.2016 - 12.2018
- Mail Indexing(Review variety of documents and compile indexes)
- Handled US claims-FNOL setup,Triage & assignment, Investigation & documentation, Settlement & closure.
- Sending various letters to patient/entity regarding claim intimation and further.
- Requesting additional medical records and payment details through File and serve tool.
- Requesting W9 form and initiating the payments in system.
- Handled end to end policy cycle from submission to Issuance.
- Maintained BOR.
- Handled Endorsements, renewels and cancellation of policy.
Education
Diploma - Community Health
Public Health Trainimg School
Thiruvananthapuram, IndiaBachelor of Science - Physics
Govt College Manimalakkunnu
Koothattukulam, IndiaSkills
- Denial management
- Overpayment resolution
- AR follow-up for underpaid claims
- Resubmission in TFL
- Workflow optimization
- Training and mentoring
- Advanced excel skills
- Account adjustments
- Critical thinking
- Effective communication
- Task prioritization
- Multitasking and organization
- Adaptability and flexibility
- Proactively managed insurance & Claims
- EPIC Software proficiency
- Multi-payer portal proficiency
- Health insurance
- Prior Authorization & Clinical submission
- Clinical documentation review
- Insurance eligibility verification
Accomplishments
- Multiple Annual awards & Monthly RNRs.
Languages
- English
- Hindi
- Malayalam
Timeline
Senior Executive AR
Omega Healthcare
03.2026 - Current
Senior Associate AR
Guidehouse India Pvt Ltd
02.2022 - 01.2026
Analyst
Sutherland global services
04.2016 - 12.2018
Diploma - Community Health
Public Health Trainimg School
Bachelor of Science - Physics
Govt College Manimalakkunnu