Summary
Overview
Work History
Education
Skills
Languages
Personal Information
Accomplishments
Timeline
Generic

Magesh R

Chennai

Summary

  • To obtain a creative and challenging position in an organization that gives me an opportunity for self-improvement and leadership, while contributing to the symbolic growth of the organization with my technical, innovative, and logical skills.
  • Having over three years of experience in revenue cycle management in the U.S. Health care system. I worked on denial management in DME billing.
  • Worked in the top healthcare provider, Adapt health.
  • Expertise in Medicare guidelines on DME billing, and deep knowledge in sending redetermination and reconsideration.

Skilled in applying advanced analytical and problem-solving techniques to optimize business operations and drive process improvements. Experience includes developing predictive models, conducting cost-benefit analyses, and implementing data-driven solutions that enhance decision-making processes. Strong in leveraging statistical software and programming languages to analyze complex datasets, with a demonstrated ability to translate findings into actionable insights that significantly improve operational efficiency.

Overview

3
3
years of professional experience

Work History

Senior Process Analyst

PROCHANT INDIA
Chennai
01.2022 - 02.2025
  • Worked on HME denied claims
  • Worked on all jurisdictions of Medicare DME denial and has deep knowledge of Medicare.
  • Guidelines of DME products
  • Attending weekly client calls and discussing new trends in denial and target.
  • Preparing redetermination and reconsideration for Medicare for all DME products (ben mental).
  • Reviewing the necessary medical documents and requesting the missing documents directly from.
  • Branch
  • Worked on Brightree system, Snap, and ResMed software.
  • Worked closely with clients on claim denials from Medicare.
  • Handling team production and led regular team meeting to provide new updates to team
  • 90% of redetermination was successfully converted to payments
  • Provided training on Medicare and commercial processes and guidelines to freshers regularly, and live-audited the claims worked by freshers.
  • Worked on Noridian on CGS portal.
  • worked in the commercial payer.

Education

Bachelor of Science - Media Studies

St Thomas Collage Of Arts And Science
Chennai
03-2021

HSC -

St Thomas Matriculation Higher Secondary School
Chennai
03-2018

Skills

  • Brightree
  • Snap
  • ResMed
  • Client communication
  • Claim analysis
  • Microsoft Office

Languages

  • English
  • Tamil

Personal Information

  • Father's Name: V.M Ragunathan
  • Date of Birth: 12/05/2000
  • Gender: Male
  • Nationality: Indian
  • Marital Status: Single

Accomplishments

  • Got cultural champion award in the Town hall meeting by CEO
  • Top performer every month at the payer level.
  • Got recognized by on shore Lead on the monthly Meeting

Timeline

Senior Process Analyst

PROCHANT INDIA
01.2022 - 02.2025

Bachelor of Science - Media Studies

St Thomas Collage Of Arts And Science

HSC -

St Thomas Matriculation Higher Secondary School
Magesh R