KALAIMARAN L
No 76 SRB Nagar 7th Street Kolathur, Chennai
Summary
Dynamic Client Specialist with Access Healthcare, adept in denials management and claims resolution. Proven track record in enhancing reimbursement processes and guiding teams through complex scenarios. Skilled in appeals management and insurance follow-up, fostering compliance and accuracy. Committed to achieving results and driving operational excellence in healthcare billing.
Overview
3
3
Languages
8
8
years of professional experience
Work History
Client Specialist
Access Healthcare
Chennai
09.2023 - 08.2026
- Reviewed denied claims to identify causes, validate claim details, and implement corrective actions for resolution.
- Managed denied claims by preparing corrections, reworking appeals, and following up to ensure timely reimbursement.
- Ensured timely handling of priority claims, completed work on time, and maintained quality and accuracy with minimal misses.
- Guided team members through complex denial scenarios and reinforced compliance with defined workflows and quality requirements.
- Provided support in U.S. medical billing with focus on denial management and claim resolution.
- Supported training as auxiliary trainer and guided multiple batches for new-hire process understanding and production readiness.
- Served as backup team lead, supporting daily operations, claim allocation, and production tracking during the team lead absence.
US IT Recruiter
TECHDIGITAL INDIA Pvt. Ltd.
Chennai
06.2018 - 12.2018
- Identified and sourced qualified candidates to fulfill recruiting needs for open roles.
- Supported USA IT recruitment across contract, full-time, and contract-to-hire positions with a focus on requirement analysis and process coordination.
- Drove candidate sourcing through Dice, Monster, CareerBuilder, JobDiva, LinkedIn, and social websites to support open requisitions.
- Coordinated independent and team-based recruiting activities to achieve hiring goals.
- Maintained working knowledge of USA visa classifications and employment types, including W2, Corp-to-Corp, and 1099, for candidate evaluation.
Education
BBM - Shipping And Logistics
AMET University Kanathur
Chennai01-2017
HSC -
St John's Matriculation Hr.Sec.School
Villivakam01-2014
SSLC -
St John's Matriculation Hr.Sec.School
Villivakam01-2012
Skills
- Denial management
- Appeals Management
- Claims processing
- Team training
- Quality assurance
- Insurance Follow-up
- EOB/ERA Analysis
- Revenue Cycle Management (RCM)
- Problem solving
Achievements and Extra-curricular activities:
- Active participant in all Sports Programs.
- Active participant in NCC and NSS Camps with certifications.
- Participated and won Aachi’s Sing the Season competition and many Interschool competitions.
- Event Manager at multiple Business organizations.
Responsibilities Undertaken:
- Team Leader - NCC Camp – AVADI.
- Scouts Secretary.
- Event Management.
- Social Services
Declaration:
I hereby declare that all the above information and particulars furnished by me are true to the best of my knowledge.
Yours sincerely,
KALAIMARAN. L
Personal Information
- Date of Birth: 1996-06-06
- Gender: Male
- Marital Status: Single
Mini Project:
- Project Title : CASE STUDY “Portfolio Management”, Project Role : Project Head
- Project Area : Chennai PORT, Project Title : Containerization Management, Project Role : Team Head
Hobbies:
Travelling, Riding, Listening to Music, Sports
Languages
English
Proficient (C2)
C2
Tamil
Native
Native
Telugu
Intermediate (B1)
B1
Timeline
Client Specialist
Access Healthcare
09.2023 - 08.2026
US IT Recruiter
TECHDIGITAL INDIA Pvt. Ltd.
06.2018 - 12.2018
BBM - Shipping And Logistics
AMET University Kanathur
HSC -
St John's Matriculation Hr.Sec.School
SSLC -
St John's Matriculation Hr.Sec.School