Mohaidheen Arshath R

Senior Executive with 4+ years of experience in US Healthcare RCM, skilled in Claims Processing, Denials, Rejections, and TAT-based operations. Proficient in Athenahealth, TruBridge, Citrix, and multiple portals. Known for accuracy, timely follow-ups, and delivering quality results in fast-paced environments.

• Processed healthcare claims and resolved denials including Eligibility, Authorization, Timely Filing, and Medical Necessity across high-volume workflows.
• Conducted eligibility verifications and efficiently handled rejection resolutions.
• Prioritized claim processing with strict adherence to TAT (Turnaround Time) and maintained accuracy levels exceeding 95%.
• Communicate with payers to resolve issues and resubmit corrected claims.
• Prepared hourly, daily, and periodic performance reports to monitor progress and ensure process compliance.
• Supported internal teams with accurate production validation, documentation, and reporting.
• Trained and mentored new joiners to maintain consistent process quality and operational excellence.

• 4+ years of proven expertise in US Healthcare Revenue Cycle Management (RCM), specializing in Claims Processing, Denials, and Rejections.
• Consistently maintained high accuracy levels exceeding 95% in claim processing and documentation.
• Recognized for achieving strict TAT (Turnaround Time) targets in high-volume claim environments.
• Effective team player with experience in training and mentoring new joiners to ensure process quality and productivity.

• AthenaOne
• Citrix
• RCM
• Thrive
• Portals - Availity, bcbs, Medicaid etc.

• Date of Birth: 12/31/99
• Nationality: Indian

• Star Performer of the year, 2022, Access Healthcare
• Top Performer of the year, 2024, Omega Healthcare