Karthik B
Chennai
Summary
Results-driven professional with expertise in revenue cycle management, specializing in claims processing and denial resolution. Assesses client needs to implement effective solutions that enhance operational efficiency and maximize reimbursement outcomes. Collaborative problem solver committed to driving process improvements through strategic decision-making and attention to detail.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Senior AR Executive
Lapiz Digital services
04.2024 - Current
- Negotiated with insurance companies to maximise reimbursement rates and reduce denials.
- Verified patient insurance coverage and benefits, updating records to streamline billing processes.
- Demonstrated problem-solving abilities by identifying root causes of issues and implementing effective solutions.
- Assessed client needs and explored optimal courses of action to enhance service delivery.
Senior Executive AR
Technosoft Global Services Private Limited
08.2023 - 04.2024
- Investigated late or unrecovered payments to determine circumstances and recommend appropriate collection actions, improving recovery rates.
- Coordinated with healthcare providers to secure documentation, streamlining claim processing workflows.
- Identified root causes of issues and implemented solutions, enhancing overall claims processing effectiveness.
Senior Executive
Global Healthcare Billing Partners
08.2022 - 08.2023
- Checked insurance verification before submitting claims to the insurance company.
- Ran AR report and segregated TFL claims, recently submitted claims, in-process claims, and client assistance claims, taking appropriate denial actions.
- Reviewed detailed EOB and executed denial actions to achieve zero balance on AR report.
- Patients Account list and make calls to take appropriate end action to get zeroed out the claim.
Junior Analyst
oncospark
10.2017 - 12.2021
- Handled claims processing and gained knowledge of RCM process, ensuring timely payments and achieving targets.
- Monitored patient account details to identify non-payments and irregularities, contributing to improved cash flow.
- Monitored patient account details for non-payments and irregularities, supporting resolution efforts.
Education
B.Tech/B.E. - Mechanical
Adhi College of Engineer And Technology
Sankarapuram01-2016
12th - Tamil Nadu , English
Vidhya Vikas Boys Higher Secondary School
Thiruchengode01-2011
10th - Tamil Nadu , English
Vidhya Vikas Boys Higher Secondary School
Thiruchengode01-2009
Skills
- Revenue management
- Claims processing
- Denial management
- Insurance verification
- Negotiation skills
- Patient account management
- Patient billing
- Client needs assessment
- Team collaboration
- Problem solving
Certification
- Diploma In Mechanical DesignCreo
- Diploma In Mechanical DesignCATIA
- Diploma In Mechanical DesignNX-CAD
Hobbies and Interests
- Reading
- Playing
Languages
- English
- Telugu
- Tamil
Timeline
Senior AR Executive
Lapiz Digital services
04.2024 - Current
Senior Executive AR
Technosoft Global Services Private Limited
08.2023 - 04.2024
Senior Executive
Global Healthcare Billing Partners
08.2022 - 08.2023
Junior Analyst
oncospark
10.2017 - 12.2021
B.Tech/B.E. - Mechanical
Adhi College of Engineer And Technology
12th - Tamil Nadu , English
Vidhya Vikas Boys Higher Secondary School
10th - Tamil Nadu , English
Vidhya Vikas Boys Higher Secondary School