Barath

• Managed end-to-end AR cycle: claim follow-ups, denial resolution, appeals, corrected submissions, and cash posting validation.
• Functioned as UiPath Administrator: provisioned robots/users, managed queues, assets, schedules, roles, and credential vaults. Monitored unattended bots and SLA adherence.
• Developed advanced SQL queries for payer-wise denial analysis, AR aging reports, patient visit reconciliation, and collection metrics.
• Created Power BI dashboards using UiPath API + SQL data to track: AR performance, claim trends, automation efficiency, and patient visit vs. billing accuracy.
• Collaborated with AR managers and RPA developers to optimize workflows and reduce manual effort.

Achievements:

• Managed 20+ RCM bots with 99% uptime and SLA adherence.
• Improved first-pass resolution rate by 12%, leading to faster claim recovery.
• Reduced manual reporting errors by 30% via automated Power BI dashboards.
• 
  

• Performed AR follow-ups with U.S. payers to resolve unpaid or denied claims, and underpayments.
• Managed claim appeals and re-submissions, ensuring timely resolution, and improved cash flow.
• Administered UiPath Orchestrator: managed bots, queues, schedules, assets, and user access; monitored workflows, and resolved failures.
• Extracted and analyzed RCM data using SQL: claim aging reports, denial trends, patient visit reconciliation, and collection summaries.
• Connected UiPath Orchestrator and SQL data to Power BI dashboards to visualize claim trends, AR KPIs, and bot performance metrics.
• Ensured HIPAA compliance and maintained documentation for audits.

Achievements:

• Reduced claim follow-up turnaround time by 20%.
• Improved bot uptime and success rates by 15%.
• Saved 10+ hours per week of manual reporting via automated SQL and Power BI dashboards.

• Call insurance companies (payer representatives) to check the status of outstanding claims.
• Initiate follow-up on aging claims (30/60/90+ days).
• Understand and interpret the Explanation of Benefits (EOB) and the Remittance Advice (ERA).
• Identify the reasons for claim rejections or denials.
• Take corrective actions like re-submission or appeal after validating and correcting claims.
• Coordinate with coding/billing teams to address denial issues.
• Analyze pending claims, and determine the appropriate action.
• Work on claim reprocessing, eligibility checks, and documentation requirements.
• Maintain productivity and accuracy targets as per client SLA.
• Update claim status, call logs, and actions taken in client software (e.g., EPIC, eClinicalWorks).
• Ensure proper documentation for audits and compliance.
• Maintain daily production logs and aging reports.
• Communicate with Team Leads or Managers on unresolved issues.
• Work closely with the billing, coding, and denial management teams.
• Provide feedback on trends observed (e.g., frequent denials for the same CPT codes).