Dynamic Senior Quality Analyst specializing in compliance auditing and process optimization. Recognized for delivering data-driven recommendations that streamline workflows and enhance overall operational performance.
Overview
7
7
years of professional experience
Work History
Senior Quality Analyst
athenahealth
Chennai
02.2022 - Current
Managed the ERA automation process by verifying ERAs received from payers and ensuring precise uploads into AthenaOne; initiated and coordinated Provider Billing Request (PBR) creation to support seamless revenue cycle operations.
Executed Orbograph automated process, performing data extraction and quality verification to ensure accurate, reliable outputs.
Utilized DevRO SQL access for in-depth data extraction and analysis, enabling team to identify and resolve quality issues.
Conducted comprehensive direct audits, performing 360-degree reviews to pinpoint vendor errors, process gaps, and opportunities for automation improvements.
Provide data‑driven insights and recommendations to enhance accuracy, streamline workflows, and improve overall process efficiency.
SENIOR PROCESS EXCEUTIVE
COGNIZANT
Chennai
12.2020 - 02.2022
Recommended updating taxonomy code in all claims submitted to Medicaid-NC, reducing denials and saving 3,806 claims monthly, valued at $26,034.17.
Achieved Star employee recognition for three consecutive months for maintaining 100% production and quality.
Collaborated with teams across 110 specialties to enhance cross-functional communication.
CUSTOMER CARE ASSOCIATE
NTT DATA
Chennai
05.2019 - 11.2020
Developed auto adjustment scripts for primary payments exceeding secondary allowed amounts, streamlining claims process for Accounts Receivables.
Collaborated with various clients across specialties
Education
Bachelor of Science - Mathematics With Computer Application
Sethu Bhaskara Matriculation Hr. Sec. School
Chennai
05-2019
Skills
Quality verification
Compliance auditing
Process improvement
Data analysis
SQL analysis
Data extraction
Revenue cycle management
Timeline
Senior Quality Analyst
athenahealth
02.2022 - Current
SENIOR PROCESS EXCEUTIVE
COGNIZANT
12.2020 - 02.2022
CUSTOMER CARE ASSOCIATE
NTT DATA
05.2019 - 11.2020
Bachelor of Science - Mathematics With Computer Application