ARUN KUMAR JAVAJI
SECUNDERARBAD
Summary
Detail-oriented professional with strong analytical skills in denial management and claim processing. Proficient in EPIC software, dedicated to optimizing workflows and mentoring junior associates. Results-driven claims management specialist with expertise in denial resolution and patient communication. Proven ability to analyze data trends and implement innovative solutions to improve workflows and drive team performance.
Overview
6
6
years of professional experience
Work History
SR Process Associate
Invilogue Solutions PVT Ltd
HYDERABAD
03.2021 - Current
- Specialized in Orthopedics, Ambulatory services, Pain management, and Surgery billings under Workers' Compensation claims and No Fault claims, along with Commercial claims.
- Managed a variety of claim forms including CMS1500, UB-04, NF3, and C-4.2 for NY state.
- Interacted with case level manager representatives and the New York State Workers' Compensation Board for resolution on patient case levels.
- Worked in End to End process environment.
- Hands on experience on EPIC software and Athena.
- Handled patient calling for claims information.
- Able to analyze the denials without the contacting the carrier.
- Called the patient for coverage info.
- Specialized in WC and NF claims.
- Mentored junior associates on best practices and efficient workflow management techniques.
- Analyzed data trends to identify opportunities for streamlining existing processes.
- Facilitated regular team meetings to discuss challenges and share innovative solutions.
AR CALLER
ACN HEALTHCARE
HYDERABAD
02.2020 - 11.2020
- Worked in denial management processes to resolve claim denials efficiently.
- Contacted insurance companies to verify claim status and coverage details.
- Participated in team meetings to discuss best practices for AR calling strategies.
- Researched and resolved discrepancies between patient accounts and third-party payers.
- Called the IPA's to obtain payment info and status.
Education
MBA -
Osmania University
Bachelor’s Degree -
Osmania University
Intermediate -
Govt Jr college
SSC -
VANI CONVENT HIGH SCHOOL
Skills
- M S Office
- EPIC software
- Denial management
- Claim processing
- Workers' compensation
- Revenue cycle management
- Medical billing
- Insurance verification
- Denial resolution
- Billing dispute resolution
Projects
Asset Liability Management, ICICI Bank Ltd
Disclaimer
I hereby declare that the above mentioned information is best of my knowledge and belief.
Languages
- English
- Telugu
- Hindi
Personal Information
- Father's Name: J SWAMY
- Date of Birth: 05/30/94
- Nationality: INDIAN
- Marital Status: SINGLE
Timeline
SR Process Associate
Invilogue Solutions PVT Ltd
03.2021 - Current
AR CALLER
ACN HEALTHCARE
02.2020 - 11.2020
MBA -
Osmania University
Bachelor’s Degree -
Osmania University
Intermediate -
Govt Jr college
SSC -
VANI CONVENT HIGH SCHOOL
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