NATHIYA P.
NADUKUTHAGAI TIRUNINDRAVUR
Summary
Senior quality auditor with 11 years of experience in healthcare RCM focused on streamlining claim quality, minimizing denials, conducting root cause analysis, and providing team support.
Overview
15
15
years of professional experience
Work History
Quality Analyst
QBSS(Firstsource)
03.2019 - 03.2026
- Executed claim-level audits to ensure compliance with established SOP and client standards.
- Drafted comprehensive quality audit reports and trend analyses for managerial review.
- Identified corrective and preventive actions to enhance quality metrics.
- Conducted training sessions and quality huddles for associates across all experience levels.
- Trained batches on process-level cash posting, denials, and refund processes.
Quality Analyst
Global Healthcare
09.2017 - 07.2018
- Managed tasks as quality analyst for AR scope during one year
Sr. Financial Transaction Executive
Ecare services Pvt Ltd
12.2013 - 10.2016
- Executed BPO process as Sr. Financial Transaction Executive, managing cash posting, capturing denials, and implementing corrective actions.
Data Entry Conversion Executive
Dell services
12.2010 - 10.2013
- Executed data entry tasks in BPO process for medical billing under payment posting, ensuring accurate and timely processing of claims over 3 years
Education
Bachelor of Commerce - Corporate Secretaryship
Thiruthangal Nadar Arts & Science College
Chennai01-2010
Higher Secondary -
Govt Girls Hr Sec School
Chennai01-2007
Stateboard -
Govt Girls Hr Sec School
Chennai01-2005
Skills
- Quality auditing
- Payment posting
- Eligibility Verification
- ACH transactions
- EFT
- Patient payment
- Credit card
- Refund handling
- Denial resolution
- Paper EOB
- Training initiatives
Languages
- ENGLISH
- TAMIL
TECHNICAL SKILLS
- MS Office
- Tally
- Typing
- Diploma in Computer Applications
Timeline
Quality Analyst
QBSS(Firstsource)
03.2019 - 03.2026
Quality Analyst
Global Healthcare
09.2017 - 07.2018
Sr. Financial Transaction Executive
Ecare services Pvt Ltd
12.2013 - 10.2016
Data Entry Conversion Executive
Dell services
12.2010 - 10.2013
Bachelor of Commerce - Corporate Secretaryship
Thiruthangal Nadar Arts & Science College
Higher Secondary -
Govt Girls Hr Sec School
Stateboard -
Govt Girls Hr Sec School