Chandru Balasubramanian
Tiruchirapalli
Summary
Results-driven Senior AR Caller known for exceptional productivity and efficiency in managing receivable accounts. Excel in negotiation, problem-solving, and customer service, ensuring disputes are resolved swiftly and payments processed promptly. Possess strong communication skills, adaptability, and teamwork capabilities, vital for excelling in fast-paced environments and maintaining positive client relations. Highly skilled Senior AR Caller with solid background in managing Accounts Receivable processes. Have worked extensively in client-centric environments, adept at ensuring prompt billing and collection procedures. Strengths include exceptional communication skills, problem-solving ability, strong knowledge of financial software, and persuasive negotiation techniques. Demonstrated success in reducing delinquency for major accounts and maintaining customer relationships to ensure repeat business.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Senior AR Caller
Veehealthtek
Trichy
05.2024 - Current
- Conducted proactive follow-up calls to patients and insurance companies, achieving a collection rate of [100]% within the first 30 days of account aging.
- Resolved billing discrepancies by communicating effectively with patients and payers, leading to a [percentage]% decrease in unresolved claims.
- Utilized [specific billing software] to track account statuses and maintain accurate records of all interactions, ensuring compliance with company policies and regulations.
- Collaborated with billing specialists to gather necessary information for claims resubmissions, resulting in a 100% reduction in claim denials.
- Trained and mentored new staff on effective communication techniques and billing practices, enhancing overall team performance.
- Analyzed aging reports to prioritize follow-ups and identify trends, contributing to the development of improved collection strategies.
- Initiated collection efforts on unpaid accounts by contacting insurance companies or patients directly via phone or mail.
- Researched complex billing issues involving multiple providers or services rendered over a period of time.
- Submitted appeals for denied claims when appropriate according to the insurance company's criteria.
Senior AR Caller
Guide House
Chennai
11.2023 - 04.2024
- Researched complex billing issues involving multiple providers or services rendered over a period of time.
- Assisted with the reconciliation of accounts receivable ledgers at month-end close process.
- Maintained detailed records of all billing activities including denials, adjustments, and payments received.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Performed quality control of data entry system to verify proper posting of claims and payments.
- Submitted refund requests for claims paid in error.
- Prepared and attached referrals, treatment plans or other required correspondence to reduce incidence of denials.
- Applied HIPAA privacy and security regulations while handling patient information.
- Submitted appeals using provider portals and phone communication.
- Reviewed claims for coding accuracy.
- Handled billing, waivers and claims for private and commercial clients.
- Submitted claims to insurance companies.
- Managed all payments processing, invoicing and collections tasks.
- Processed invoice payments and recorded information in account database.
- Investigated past due invoices and delinquent accounts to generate revenues and reduce number of unpaid and outstanding accounts.
- Performed insurance verification, pre-certification and pre-authorization.
- Checked claims coding for accuracy with ICD-10 standards.
- Executed account updates and noted account information in company data systems.
Senior AR Caller
R1RCM
Bangalore
08.2022 - 04.2023
- Initiated collection efforts on unpaid accounts by contacting insurance companies or patients directly via phone or mail.
- Provided customer service support to patients who had questions about their bills or payments due.
- Researched complex billing issues involving multiple providers or services rendered over a period of time.
- Assisted with the reconciliation of accounts receivable ledgers at month-end close process.
- Submitted appeals for denied claims when appropriate according to the insurance company's criteria.
- Updated patient accounts with information obtained from internal departments or external sources.
- Monitored aging accounts receivable balances ensuring timely resolution of outstanding balances.
- Ensured HIPAA compliance by maintaining confidentiality of all patient information.
- Developed strategies for improving collections performance while reducing bad debt write-offs.
- Performed quality assurance audits on submitted claims ensuring that they met industry standards.
- Reviewed patient records for accuracy and completeness of information in medical billing system.
Senior Account Receivable Analyst
NTTDATA
Chennai
04.2020 - 05.2022
- Initiated collection efforts on unpaid accounts by contacting insurance companies or patients directly via phone or mail.
- Monitored aging accounts receivable balances ensuring timely resolution of outstanding balances.
- Worked closely with clinical staff to ensure accurate coding practices were followed.
- Ensured HIPAA compliance by maintaining confidentiality of all patient information.
- Verified the accuracy of claim data prior to submission to insurance carriers.
- Analyzed rejected claims and corrected errors as necessary before resubmitting them for payment.
- Maintained detailed records of all billing activities including denials, adjustments, and payments received.
- Completed appeals and filed and submitted claims.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Performed quality control of data entry system to verify proper posting of claims and payments.
- Prepared billing statements for patients, ensuring correct diagnostic coding.
- Posted charges, payments and adjustments.
- Applied payments, adjustments, and denials into medical manager system.
- Contacted insurance providers to verify insurance information and obtain billing authorization.
Senior Analayst
HCL Technologies
Chennai
02.2018 - 07.2021
- Researched complex billing issues involving multiple providers or services rendered over a period of time.
- Assisted with the reconciliation of accounts receivable ledgers at month-end close process.
- Submitted appeals for denied claims when appropriate according to the insurance company's criteria.
- Updated patient accounts with information obtained from internal departments or external sources.
- Reviewed patient records for accuracy and completeness of information in medical billing system.
- Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
- Completed appeals and filed and submitted claims.
- Reviewed patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under policies.
- Prepared billing statements for patients, ensuring correct diagnostic coding.
- Posted charges, payments and adjustments.
- Submitted refund requests for claims paid in error.
- Prepared and attached referrals, treatment plans or other required correspondence to reduce incidence of denials.
Marketing
Justdial public service ltd
Chennai
01.2012 - 03.2017
- Performed cold calling and outreach to build sales pipeline
- Answered calls, took messages and transferred calls to appropriate individuals
- Skilled at client management software and computer dialing
- Established excellent sales ability and strong interpersonal skills with confident and persuasive approach
- Recorded contact information of customers and potential customers
- Assisted with orientation of new employees
- Overcame objections using friendly, persuasive strategies
- Provided information about available products and services including membership details and purchase advantage.
Education
B,sc computer science -
Urumu Dhanalakshmi college
Trichy01.2010
Higher secondary 12th std -
National higher secondary school
Trichy01.2006
SSLC 10th Std -
National Higher secondary school
Trichy01.2004
Skills
- Payment posting
- HIPAA Compliance
- Training and mentoring
- Medical terminology knowledge
- Insurance Verification
- Paperwork Processing
- Adjustment posting
- Payment Processing
- Correspondence Writing
- Accounts Payable
- Patient Billing
- Collections Management
- Teamwork and Collaboration
- Claims review
- Claims Processing
- Multitasking and Organization
- Invoice Processing
- ICD-10
- Account Management
- Insurance collections
- Electronic Claims
- Operations Support
- Medical coding understanding
- Payer Contracts
Projects
Population Health Dashboard - Developed a Power BI dashboard to track population health metrics and identify high-risk patient populations for targeted interventions. Integrated clinical and claims data to analyze healthcare utilization patterns and optimize resource allocation.
Disclaimer
I hereby declare that the above-mentioned information is correct up to my knowledge and I bear the responsibility for the correctness of the above-mentioned particulars.
Affiliations
- Travel Vlog
- Bike riding
- Cycling
Certification
- Microsoft Power BI
- Business analyst
- Automation Testing
- Microsoft Office
- Content creator
Timeline
Senior AR Caller
Veehealthtek
05.2024 - Current
Senior AR Caller
Guide House
11.2023 - 04.2024
Senior AR Caller
R1RCM
08.2022 - 04.2023
Senior Account Receivable Analyst
NTTDATA
04.2020 - 05.2022
Senior Analayst
HCL Technologies
02.2018 - 07.2021
Marketing
Justdial public service ltd
01.2012 - 03.2017
- Microsoft Power BI
- Business analyst
- Automation Testing
- Microsoft Office
- Content creator
B,sc computer science -
Urumu Dhanalakshmi college
Higher secondary 12th std -
National higher secondary school
SSLC 10th Std -
National Higher secondary school
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