Mukeesh Sathish Kumar
Pune
Summary
Results-driven Accounts Receivable Executive experienced in healthcare revenue cycle management and client relations. Delivered effective AR follow-up and claims analysis, ensuring timely reimbursement for high-dollar claims through expertise in California medical billing. Committed to enhancing client satisfaction and optimizing revenue processes.
Overview
4
4
years of professional experience
Work History
Senior AR Caller
Credence Resource Management
Pune
12.2024 - Current
- Functioned as a Senior AR Caller for advanced cancer testing lab services, handling complex high-dollar laboratory claims.
- Specialized in California medical billing, successfully navigating claims involving Independent Physician Associations (IPAs) and large medical groups.
- Actively participated in the Independent Dispute Resolution (IDR) process under the No Surprises Act to resolve payment disputes with payers.
- Led team operations by managing internal audits, tracking daily production data, and strategically allocating claims to team members to maximize efficiency
AR caller / Analyst
AGS Health care
Chennai
05.2023 - 07.2024
- Managed AR follow-ups for physical therapy and occupational therapy claims, ensuring timely and accurate reimbursement.
- Prepared and submitted corrected claims to insurance companies, effectively resolving billing errors and discrepancies.
- Verified patient insurance eligibility and benefits, reducing risk of future claim denials and streamlining processing.
AR Caller
Omega Health care
Trichy
02.2022 - 05.2023
- Handled high-priority emergency claims to expedite reimbursement.
- Coordinated claim follow-up process, ensuring timely resolution of outstanding accounts receivable.
- Submitted and tracked appeals, facilitating resolution of insurance denials to secure payments.
Education
Dhanalakshmi Seernivasan
Trichy , India Bachelor of Arts - Commerce
ST Josephs College
Trichy05-2018
Skills
- Accounts Receivable Management
- Denial Management & Resolution
- Claims Follow-Up
- Corrected Claims Submission
- Insurance Eligibility & Benefits Verification
Languages
Tamil
First Language
English
Proficient (C2)
C2
Hindi
Upper Intermediate (B2)
B2
Timeline
Senior AR Caller
Credence Resource Management
12.2024 - Current
AR caller / Analyst
AGS Health care
05.2023 - 07.2024
AR Caller
Omega Health care
02.2022 - 05.2023
Dhanalakshmi Seernivasan
Bachelor of Arts - Commerce
ST Josephs College