Karukuvel Rajan

• Maintained clean and well-organized production areas to avoid violations or unnecessary work delays due to hazards or inefficient layouts.
• Reviewed daily requirements and forecasts and delegated work for optimal coverage.
• Trained new team members by relaying information on company procedures and safety requirements.
• Attended staff development meetings and workshops and applied information from those events into daily activities.
• Supported staff with developing professional skills and abilities, uplifting team performance.
• Monitored team performance to identify productivity improvement opportunities.
• Met production targets and tight deadlines by collaborating closely with team members.
• Prepared reports and technical documentation of day-to-day production processes.
• Reviewed production schedules and streamlined processes.
• Used problem-solving and issue-resolution skills to promptly and successfully address production problems.

• Held daily team meetings to inform team members on company news and updates.
• Managed leave requests and absences and arranged covers to facilitate smooth flow of operations.
• Supervised team members to confirm compliance with set procedures and quality requirements.
• Conducted training and mentored team members to promote productivity and commitment to friendly service.

• Communicated with insurance providers to resolve denied claims and resubmitted.
• Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
• Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
• Collected payments and applied to patient accounts.
• Printed and reviewed monthly patient aging report and solicited overdue payments.
• Pre-certified medical and radiology procedures, surgeries and echocardiograms.
• Maintained and updated collections tracking spreadsheet to help organize payment information.
• Identified and resolved patient billing and payment issues.
• Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts.
• Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
• Posted and adjusted payments from insurance companies.

Patients eligibility verification with the insurance payer.

Researched and resolved denials, incorrect payments and claim rejection

Verified accuracy of insurance claims payments

Improved revenue for providers by working aggressively on their aging report

Analyzed, researched and resolved patient billing issues