MOHANA SUNDHARI A

Skilled in AR Management and highly motivated professional with 5 years of experience in end to end projects on Revenue Cycle Management, i.e. eligibility and benefits verification, charge entry, Denials management, Claims Rejections, Claim Recoupment/Refunds, Obtaining Prior Authorization, Claim Appeals, Claim Reconsideration Letter, Correspondence analysis etc.

• A brief understanding on the entire Revenue Cycle Management(RCM).
• Work independently, multi-task and adapt to a fast-paced changing environment.
• Responsible for AR aging clean up and demonstrating good judgement in selecting methods and techniques for obtaining solutions.
• Proficient in Medicare, Medicaid, Self-pay and Commercial Insurance Billing.
• Maintain communication with payer (insurance) via telephone or payer website if we need any info regarding claims. Ensuring that clients are properly billed for the service. Make corrections to the claim based on input from the Insurance company.
• Ensure securing revenue by verifying and posting receipts, and resolving any discrepancies.
• Responsible to maintain quality in the service and monitoring payment information and retrieving payment from the website.
• Providing weekly, daily and monthly productivity with the quality to manage the service.

Ø Received best performer award in RCM Denial management during training period in MiraMed Ajuba Solutions.

Ø Received recognition from Client by identified a root cause of pending/unpaid claims and found trends to solve the issue and get the claims paid.