NextGen
Boobalan D
Ar Analyst
Chennai
Summary
Detail-oriented professional with focus on deadlines and skilled in handling medical billing without errors. Confident Medical Biller knowledgeable in data confidentiality and privacy practices when reviewing patient information. Organized Medical Biller skilled at accurately auditing patient charts and billing corresponding parties.
Results-oriented professional prepared for high-impact roles in client partnership management. Extensive experience in developing and nurturing client relationships, ensuring alignment with business objectives. Known for fostering team collaboration and adaptability to dynamic environments. Expertise in strategic planning and client satisfaction.
Overview
10
10
years of professional experience
2
2
Languages
Work History
Senior Client Partner - Billing
Access Healthcare Private Limited
09.2024 - Current
- Implemented effective client retention strategies for sustained revenue generation.
- Streamlined internal processes, resulting in improved efficiency and increased productivity.
- Enhanced revenue growth by identifying and pursuing new business opportunities.
- Collaborated with cross-functional teams to deliver comprehensive solutions for clients'' needs.
Sr. Executive
Apexon PVT LTD
07.2021 - 08.2024
- Energetic and results-oriented leadership Senior AR Specialist with over 6+ years of combined experience in project management, print/mail production, accounting, auditing, and data integrity. Proven Track record of Core Competencies and Skills Advance Knowledge software applications Strong analytical and reporting skills.
- Identify the edits of the claim and resolving the error of the payer rejection and the clearing house edits in both institutional and professional claims
- Working with management, project support and AR specialists as team to maximize returns for specified client with revenue cycle optimization.
- Working on patient collections towards payment receivable on collection or insurance payment to hospital/provider.
Sr. Executive
Global Healthcare solutions
05.2019 - 06.2021
- Conducted review of each resident account ensuring completion and accuracy of payer source configurations, coverage levels, and authorizations. Maintained completed accurate payment databases for each community. Communicated extensively with administrators, leadership, accounting and billing team members.
- Performing following-up activity on outstanding physician claims under direction of my accounts receivable supervisor.
- Identifying issues and trends that result in non-payment of claim due to internal/external review, elevating significant issues to Supervisor.
- Running AR reports determining outstanding balances, cash collections, inventory, product usage and doctor referrals.
- Working in software to reconcile invoices for patients including posting payments, adjusting accounts and working denials
- Verified insurance eligibility for patients via insurance portals and telephone.
Executive
Chennai Healthcare Service
06.2016 - 02.2019
- Strategy focused with results-driven Junior AR Specialist Well versed in solving customer, client and employee problems Fostering long-term relationships which improves company profits and enhances reputation 2 years of healthcare experience within multiple facets of the industry, with a background in revenue cycle management Refined interpersonal skills with the ability to effectively present information across all boards.
- Working with management, project support and AR specialists as team to maximize returns for specified client with revenue cycle optimization.
- Timely management of unpaid claims and ensure secondary claims are submitted and paid
- Building strategies that minimize errors and produces clean claim submissions.
- Resolving incoming requests from client and patient financial representatives in timely fashion.
- Assisting RCM Manager with process improvements to increase revenue and manage time.
- Enforcing managements goal to spot denial trends, documenting them and find immediate resolution.
- Effectively prontizing tasks and execute them in high pressured environment.
Education
High School Diploma -
Kamaraj Nagar Government Boys Hr. Sec. School
Chennai04-2002
Bachelor of Science - Computer Science
Madras University
Chennai03-2009
Skills
Medical claims submission
Data analysis
Patient account analysis
Records Maintenance
Payment posting
Accounts receivable
management
Medical Records Review
Claims Adjustments
EXTRACURRICULAR ACTIVITIES
Best knowledge in Ms office (Word, Excell, Powerpoint) Software Worked AS400 Epsalon Office Ally Kareo Practice Suite Best knowledge in Ms office (Word, Excell, Powerpoint) Software Worked AS400 Epsalon Office Ally Kareo Practice Suite
Software
Kareo
Timeline
Senior Client Partner - Billing
Access Healthcare Private Limited
09.2024 - Current
Sr. Executive
Apexon PVT LTD
07.2021 - 08.2024
Sr. Executive
Global Healthcare solutions
05.2019 - 06.2021
Executive
Chennai Healthcare Service
06.2016 - 02.2019
High School Diploma -
Kamaraj Nagar Government Boys Hr. Sec. School
Bachelor of Science - Computer Science
Madras University