DILIPDOSHI RAJASEKAR
Chennai
Summary
Dynamic Senior Process Associate with over 10 years of experience in US Healthcare Revenue Cycle Management (RCM), currently excelling at Omega Healthcare Management Services. Proven expertise in payment posting, insurance and patient refunds, DME denial management, AR analysis, appeals, underpayment resolution, provider enrollment, and quality audits. Demonstrates a high level of accuracy, process knowledge, and training capability across diverse specialties and payer environments. Skilled in MS Excel for reporting, reconciliation, and audit tracking. Committed to process improvement, compliance, and consistently delivering top-quality service in high-performance environments.
Overview
13
13
years of professional experience
Work History
Senior Process Associate
AGS Health
Chennai
04.2022 - Current
- For the past 2 years and 5 months, I have been working as an Acting Team Leader and Quality Analyst in the Credit Balance and Payment Posting department at Omega Healthcare. While the leadership position is currently unofficial, I have taken full responsibility for team coordination, quality audits, performance monitoring, and ensuring process compliance to meet both accuracy and productivity targets.
- Performed detailed quality audits for payment posting and refund processes, ensuring SOP adherence.
- Monitored error trends and shared weekly QA reports to improve accuracy and compliance.
- Collaborated with process leads to standardize best practices and implement corrective actions.
- Created Excel-based tracking tools for audit logs, daily reconciliation, and productivity.
- Conducted refresher trainings to minimize recurring issues and ensure SOP alignment.
- Managed escalations related to refunds and supported quick turnaround with accurate resolutions.
Senior Process Associate
AGS Health
Chennai
08.2021 - 04.2022
- Rejoined AGS Health in an unofficial Quality Analyst role, where I leveraged my in-depth experience in payment posting and credit balance management to ensure the accuracy and integrity of financial transactions. This role allowed me to take on greater responsibility in process oversight, internal auditing, and identifying improvement opportunities to enhance quality and compliance.
- Audited insurance and patient refunds, validating against ERA/EOB for correct allocation.
- Designed Excel templates for refund reconciliation and quality performance dashboards.
- Addressed client concerns through prompt and well-documented escalation responses.
- Tracked team performance using real-time data and shared monthly QA summaries.
- Supported internal quality initiatives and process enhancement efforts.
Senior Client Partner
Access Healthcare
Chennai
03.2016 - 06.2020
- Extensively worked on payment posting, credit balance resolution, appeals, and underpayment processes for US healthcare clients—ensuring accuracy, compliance, and timely resolution. Gained 6 months of hands-on experience in DME AR denial management using Brightree, specializing in account reviews and claim closures for Durable Medical Equipment.
- Handled end-to-end payment posting and credit resolution with focus on zero-defect accuracy.
- Patient statement, Refund, Appeal and Under paid.
- DME denial management AR analyst and Enrolment process.
- Generated Excel trackers for payment batches and follow-ups for timely posting.
- Supported quality team by ensuring compliance with updated SOP guidelines.
Process Associate
AGS Health Pvt. Ltd.
Chennai
10.2012 - 02.2015
- Started my career in the US Healthcare RCM domain as a Payment Poster and Credit Balance Analyst, building a strong foundation in end-to-end payment posting, payment reconciliation, and credit balance resolution. Gained hands-on experience in processing EOBs/ERAs, managing adjustments, and ensuring high accuracy in financial transactions while maintaining compliance with client-specific and payer guidelines.
- Processed payments and adjustments based on payer contracts and remittances.
- Maintained Excel logs for payment discrepancies and manual checks for tracking.
- Assisted with quality checks and helped in reducing claim mismatches.
- Ensured timely and accurate updating of financial records across tools.
Education
Bachelor of Arts - Economics
Annamalai University
ChidambaramHSC (12th Grade) -
Govt. Hr. Sec. School
Nagalkeni, ChennaiSkills
- Payment Posting (EOB/ERA)
- Client Escalation Handling
- Credit Balance Resolution
- Appeal and Under paid
- Insurance and Patient Refunds
- Excel Reporting & Data Reconciliation
- QA for Payment & Refund Processes
- Productivity & Accuracy Monitoring
- Provider enrolment
- Month-End Reporting & TAT
- DME AR analyts
- Team Training & Mentoring
- Error tracking
Accomplishments
- Maintained 99.9% accuracy in payment posting and QA audits across consecutive quarters.
- Reduced refund processing turnaround time by 25% through Excel-based tracking tools.
- Successfully led SOP compliance drives with measurable impact on refund quality.
- Received client appreciation for resolving complex discrepancies within SLAs.
- Trained and mentored over 15 new hires, improving team capability and output.
Languages
Tamil
First Language
English
Intermediate (B1)
B1
Timeline
Senior Process Associate
AGS Health
04.2022 - Current
Senior Process Associate
AGS Health
08.2021 - 04.2022
Senior Client Partner
Access Healthcare
03.2016 - 06.2020
Process Associate
AGS Health Pvt. Ltd.
10.2012 - 02.2015
Bachelor of Arts - Economics
Annamalai University
HSC (12th Grade) -
Govt. Hr. Sec. School