JEEVA K
Summary
Dedicated Revenue Cycle Management (RCM) professional with 5 years of experience, currently serving as an Acting Subject Matter Expert (SME) specializing in Denial Management and Accounts Receivable (AR) Follow-up. Demonstrated success in reducing denial rates, shortening AR aging, and improving overall cash flow through effective root cause analysis, payer collaboration, and process optimization. Skilled in guiding teams, training staff, and implementing workflow improvements to enhance claim resolution efficiency. Proficient in Software's including Epic, HDMS, AMD, and ACE , with a strong grasp of payer guidelines, billing compliance, and healthcare reimbursement models. Known for driving performance metrics, resolving complex claim issues, and contributing to the financial health of healthcare organizations.
Overview
6
6
years of professional experience
Work History
Senior AR Analyst
Access Healthcare
09.2024 - Current
- Serve as the central point of expertise for denial management and AR follow-up processes, ensuring timely and accurate resolution of denied and unpaid claims across all payer types
- Analyze trends in denials to identify root causes, and collaborate with billing, coding, and clinical teams to implement corrective action plans and reduce future denial rates.
- Oversee end-to-end follow-up on aged AR, developing strategies to improve recovery rates and reduce outstanding balances.
- Create and maintain denial worklists and AR aging reports; prioritize high-dollar and time-sensitive accounts for resolution.
Senior AR Analyst
Medrona medical billing
10.2022 - 08.2024
- As a Senior AR Analyst, I manage accounts receivable by conducting high-level collections and follow-ups, resolving complex account issues, and negotiating with clients to settle balances. I maintain detailed records, utilize financial software for tracking, and collaborate with internal teams to streamline billing processes. My problem-solving skills and proactive approach drive efficient cash flow and support departmental financial goals.
- Managed complex accounts receivable processes: Oversaw billing operations, claims processing, and payment collections to ensure accuracy and efficiency.
- Collaborated cross-functionally: Coordinated with insurance companies, healthcare providers, and internal teams to resolve billing issues and improve claim adjudication.
- Led and trained team members: Provided guidance and support to junior analysts, fostering a collaborative environment and enhancing team performance.
- Ensured compliance and accuracy: Monitored and enforced adherence to regulatory requirements and company policies, reducing errors and ensuring timely revenue capture.
Process Associate
Prochant India Private Limited
01.2021 - 01.2022
- Oversaw the accounts receivable process for Durable Medical Equipment (DME) billing, ensuring accurate and timely invoicing.
- Analyzed and reconciled accounts, handling discrepancies and resolving billing issues to maintain a high level of accuracy.
- Processed claims submissions, including verification of insurance coverage and patient information.
- Implemented process improvements to streamline billing operations and enhance overall efficiency.
Hc & Operation Senior Rep
NTT Data services
04.2019 - 01.2021
- Oversaw accounts receivable operations, including claim submission, follow-ups, and payment reconciliation for medical billing.
- Analyzed and resolved complex billing issues, denials, and discrepancies to ensure accurate and timely payment processing.
- Coordinated with healthcare providers, insurance companies, and internal teams to facilitate smooth revenue cycle management.
- Utilized billing software and systems to manage accounts, track claims status, and maintain comprehensive records for compliance and audit purposes.
Education
BCA - Computer Application
Apollo Arts And Science College
Chennai, India06-2018
HSC -
Anderson Higher Secondary School
Kanchipuram, India06-2015
SSLC -
Anderson Higher Secondary School
06-2013
Skills
- Denial Management (Root Cause Analysis, Appeals, Preventive Strategies)
- Accounts Receivable (AR) Follow-up & Recovery Strategies
- Insurance Verification & Payer Policy Knowledge
- EOB/ERA Analysis
- AR Aging & Denial Trend Analysis
- Data-Driven Root Cause Identification
- SOP Development & Implementation
- Quality Assurance & Audit Support
Timeline
Senior AR Analyst
Access Healthcare
09.2024 - Current
Senior AR Analyst
Medrona medical billing
10.2022 - 08.2024
Process Associate
Prochant India Private Limited
01.2021 - 01.2022
Hc & Operation Senior Rep
NTT Data services
04.2019 - 01.2021
BCA - Computer Application
Apollo Arts And Science College
HSC -
Anderson Higher Secondary School
SSLC -
Anderson Higher Secondary School
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