EZHILAN S
Chennai
Summary
With a proven track record at Access Healthcare, I excel in claims analysis and review, demonstrating an in-depth understanding of HMOs, Medicare, and Medicaid. My expertise in CPT and HCPCS coding, combined with exceptional problem-solving abilities, has significantly reduced unpaid accounts. I'm recognized for HIPAA compliance and delivering outstanding customer service, ensuring efficient medical billing processes.
Overview
9
9
years of professional experience
Work History
SENIOR AR ANALYST
ACCESS HEALTHCARE
CHENNAI
10.2023 - Current
- Performing follow-up activity on outstanding physician claims under the direction of my accounts receivable supervisor.
- Proactively following up on outstanding physician claims in accordance with the medical system's current standards, between 50 and 55 accounts daily.
- Identifying issues and trends that result in non-payment of claims due to internal/external reviews, elevating significant issues to the Supervisor.
- Working collaboratively with other team members to expedite resolution of outstanding claims.
- Maintaining strict patient confidentiality according to HIPAA regulations.
- Providing excellent customer service to patients, insurance representatives, and peers.
- Running AR reports determining outstanding balances, cash collections, inventory, product usage and doctor referrals.
- Working in Brightree to reconcile invoices for patients including posting payments, adjusting accounts and working denials.
AR ANALYST
NOVIGO INTEGRATED SERVICES PVT LTD
CHENNAI
06.2021 - Current
- Thoroughly investigated past due invoices and minimized number of unpaid accounts
- Demonstrated analytical and problem-solving ability by addressing barriers to receiving and validating accurate HCC information
- Acted as a liaison between the business department, billers and third party payers in resolving billing and reimbursement accuracy
- Appropriately and correctly identified errors and re-filed denied/rejected claims as they were received from the Patient Account Representative
- Thoroughly reviewed remittance codes from EOBS/Recompleted appeals and filed and submitted claims
- Posted charges, payments and adjustments
- Meticulously tracked and resolved underpayments
MANUAL POSTING
ACCESS HEALTHCARE PVT LTD
12.2015 - 03.2023
- Responsible for timely and accurate posting of payments and adjustments to all patient accounts
- Interpreted the explanation for benefits (EOB) and balance transfers money to the secondary insurance or patient liability
- Posted denial codes to patient accounts when received from insurance EOB'S and refer accounts as necessary to management
- Posted payments and ensured allowances, adjustments, and write-offs are posted correctly
Education
Diploma of Higher Education -
JAYA POLYTECHNIC COLLEGE
CHENNAI, INDIA01.2015
HSC -
MEENAKSHI MATRIC HR.SEC.SCHOOL
CHENNAI, INDIA01.2011
SSC -
LAKSHMI MATRIC HR.SEC.SCHOOL
CHENNAI, INDIA01.2009
Skills
- CLAIMS ANALYSIS AND REVIEW
- IN-DEPTH CLAIMS KNOWLEDGE
- KNOWLEDGE OF HMO'S MEDICARE AND MEDICAID
- CPT AND HCPCS CODING
- HIPAA COMPLIANCE
- MEDICAL BILLING SOFTWARE
Timeline
SENIOR AR ANALYST
ACCESS HEALTHCARE
10.2023 - Current
AR ANALYST
NOVIGO INTEGRATED SERVICES PVT LTD
06.2021 - Current
MANUAL POSTING
ACCESS HEALTHCARE PVT LTD
12.2015 - 03.2023
Diploma of Higher Education -
JAYA POLYTECHNIC COLLEGE
HSC -
MEENAKSHI MATRIC HR.SEC.SCHOOL
SSC -
LAKSHMI MATRIC HR.SEC.SCHOOL
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